Organization
INTERVENTIONAL SPINE & SPORTS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVESH R PATEL MD (PRESIDENT)
(203) 645-8859
Entity
Organization
Contact information
Practice address
935 RAINBOW TRL, ORANGE, CT 06477-1034
(203) 645-8859
Mailing address
935 RAINBOW TRL, ORANGE, CT 06477-1034
(203) 645-8859
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
040593
CT
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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