Organization
EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL FLANAGAN (CREDENTIALER)
(860) 282-4133
Entity
Organization
Contact information
Practice address
2800 TAMARACK AVE, SUITE 104, SOUTH WINDSOR, CT 06074
(860) 648-0814
Mailing address
99 EAST RIVER DR, 5TH FLOOR, EAST HARTFORD, CT 06108-7301
(860) 282-4133
(860) 289-0746
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
038984
CT
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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