Organization
INTERVENTIONAL SPINE & SPORTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVESH R PATEL M.D. (PHYSICIAN/OWNER)
(203) 645-8859
Entity
Organization
Contact information
Practice address
1579 STRAITS TPKE, TURNPIKE OFFICE PARK, MIDDLEBURY, CT 06762-1835
(203) 598-7246
(203) 598-0200
Mailing address
1579 STRAITS TPKE, TURNPIKE OFFICE PARK, MIDDLEBURY, CT 06762-1835
(203) 598-7246
(203) 598-0200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
040593
CT
208VP0000X
Pain Medicine Physician
040593
CT
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
05/17/2010
Last updated
09/12/2024
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