Organization
FORWARD ORTHOPEDIC AND SPINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORENIKEJI BURAIMOH MD (PRINCIPAL)
(617) 281-4340
Entity
Organization
Contact information
Practice address
130 BIRDSEYE RD, FARMINGTON, CT 06032-2444
(860) 247-3279
Mailing address
130 BIRDSEYE RD, FARMINGTON, CT 06032-2444
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
01/09/2025
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