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Organization

THE ORTHOPAEDIC & SPORTS MEDICINE CENTER

Active
Other names
The Orthopaedic & Sports Medicine Center
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY M POULIN (PRACTICE ADMINISTRATOR)
(203) 268-2882
Entity
Organization

Contact information

Practice address
100 BEARD SAWMILL RD, SHELTON, CT 06484-6150
(203) 445-5550
(203) 925-1136
Mailing address
888 WHITE PLAINS RD, TRUMBULL, CT 06611-4552
(203) 268-2882
(203) 452-3097

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/01/2011
Last updated
02/16/2012
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