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Organization

COMPREHENSIVE ORTHOPEDICS & MUSCULOSKELETAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY OLIVEIRA-GAGNON (CREDENTIALING SPECIALIST)
(401) 573-4317
Entity
Organization

Contact information

Practice address
455 LEWIS AVE STE 101, MERIDEN, CT 06451-2121
(203) 265-3280
(203) 741-6569
Mailing address
455 LEWIS AVE STE 101, MERIDEN, CT 06451-2121
(203) 265-3280
(203) 741-6569

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
06/24/2024
Last updated
07/08/2024
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