Organization
SPORTS MEDICINE AND ORTHOPEDIC SURGERY, P.C.
Active
Organization
SPORTS MEDICINE AND ORTHOPEDIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL M VELTRI M.D. (PRESIDENT, SMOS)
(860) 649-0063
Entity
Organization
Contact information
Practice address
360 TOLLAND TPKE, SUITE 3C, MANCHESTER, CT 06042-1771
(860) 649-0063
(860) 643-3642
Mailing address
360 TOLLAND TPKE, SUITE 3C, MANCHESTER, CT 06042-1771
(860) 649-0063
(860) 643-3642
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
CT
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004188331
—
CT
Enumeration date
08/24/2006
Last updated
03/24/2015
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