Organization
CONNECTICUT ADVANCED SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH UPADHYAY (OWNER)
(573) 639-2862
Entity
Organization
Contact information
Practice address
169 MIDDLE ST, BRISTOL, CT 06010-7404
(475) 337-7463
(833) 449-3338
Mailing address
8 BANBURY CRES, UNIONVILLE, CT 06085-1187
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
09/27/2023
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