Organization
THE SPORTS CENTRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT O'CONNOR MD (OWNER)
(860) 456-1780
Entity
Organization
Contact information
Practice address
5 FOUNDERS ST STE 204, WILLIMANTIC, CT 06226-2057
(860) 456-1780
Mailing address
151 STORRS ROAD, MANSFIELD CENTER, CT 06250-1638
(860) 456-1780
(860) 456-1976
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
47438
CT
Other
Enumeration date
10/14/2010
Last updated
12/23/2017
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