Organization
EASTERN CONNECTICUT MEDICAL PROFESSIONALS FOUNDATION, INC
Active
Other names
Eastern Orthopeadics and Sports Medicine, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R ALLEYNE MD (OWNER)
(860) 648-4480
Entity
Organization
Contact information
Practice address
2800 TAMARACK AVENUE, SUITE 104, SOUTH WINDSOR, CT 06074
(860) 648-4480
(860) 648-2132
Mailing address
2800 TAMARACK AVENUE, SUITE 104, SOUTH WINDSOR, CT 06074
(860) 648-4480
(860) 648-2132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
12/19/2012
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