Organization
NEW ENGLAND PAIN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON P WALTON (OWNER)
(413) 531-7078
Entity
Organization
Contact information
Practice address
76 EASTERN BLVD STE 103, GLASTONBURY, CT 06033-4382
(413) 531-7078
Mailing address
76 EASTERN BLVD STE 103, GLASTONBURY, CT 06033-4382
(413) 531-7078
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/16/2022
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