Organization
I SPINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMAR GHALY MD (OWNER AND PHYSICIAN)
(917) 526-7039
Entity
Organization
Contact information
Practice address
1389 W MAIN ST STE 123, WATERBURY, CT 06708-3104
(203) 755-5555
(203) 819-7739
Mailing address
60 PRINZ CT, CHESHIRE, CT 06410-2972
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
03/03/2022
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