Organization
NEW ENGLAND SPORTS ORTHOPEDICS SPINE & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY TANNER (CONTRACT MANAGER)
(413) 788-6197
Entity
Organization
Contact information
Practice address
483 HOLYOKE ST, LUDLOW, MA 01056-1934
(413) 314-2342
(866) 314-8454
Mailing address
62 MYRON ST, WEST SPRINGFIELD, MA 01089-1416
(413) 788-6197
(413) 731-1476
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
226816
MA
Other
Enumeration date
05/15/2013
Last updated
03/08/2016
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