Organization
CTR ADV ORTHO & SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA PENNEY (PRACTICE ADMINISTRATOR)
(860) 496-9877
Entity
Organization
Contact information
Practice address
538 LITCHFIELD ST, SUITE G-01, TORRINGTON, CT 06790-6669
(860) 496-9877
(860) 496-0441
Mailing address
538 LITCHFIELD ST, SUITE G-01, TORRINGTON, CT 06790-6669
(860) 496-9877
(860) 496-0441
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
039414
CT
332B00000X
Durable Medical Equipment & Medical Supplies
493408001
CT
Other
Enumeration date
01/19/2007
Last updated
05/20/2019
Update your record
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