Organization
ORTHOPAEDIC & SPORTS MEDICINE CTR PC
Active
Other names
The Orthopaedic & Sports Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLY M POULIN I (PRACTICE ADMINISTRATOR)
(203) 268-2882
Entity
Organization
Contact information
Practice address
888 WHITE PLAINS RD, SUITE 105, TRUMBULL, CT 06611-4552
(203) 268-2882
(203) 452-3097
Mailing address
888 WHITE PLAINS RD, SUITE 105, TRUMBULL, CT 06611-4552
(203) 268-2882
(203) 452-3097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
03/16/2012
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