Organization
PAIN & SPINE SPECIALISTS OF CONNECTICUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C LEVI MD (PRESIDENT)
(203) 743-7246
Entity
Organization
Contact information
Practice address
5520 PARK AVE, 303, TRUMBULL, CT 06611-3463
(203) 373-7330
(203) 373-7354
Mailing address
67 SAND PIT RD, 308, DANBURY, CT 06810-4032
(203) 743-7246
(203) 792-3920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6472130003
PTAN
CT
Enumeration date
04/25/2012
Last updated
11/09/2016
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