Organization
SPINE CENTER OF CT, PLLC
Active
Organization
SPINE CENTER OF CT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAE DAVIS MD (OWNER)
(571) 223-8770
Entity
Organization
Contact information
Practice address
67 SAND PIT RD STE 308, DANBURY, CT 06810-4032
(203) 743-7264
(203) 792-3920
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031-1002
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
11/26/2019
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