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1003224569
EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
BLOOMFIELD, CT
NPI
1003224569
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Entity Type
Organization
Authorized Contact
CHERYL FLANAGAN
Credentialer
860-282-4133
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
Enumeration Date
2014-07-29
Last Update Date
2015-05-04
Business Address
EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
701 COTTAGE GROVE ROAD E230
BLOOMFIELD, CT 06002
Phone number: 860-648-0814
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Mailing Address
EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
99 E RIVER DR 5TH FLOOR
EAST HARTFORD, CT 06108-3288
Phone number: 860-282-4133
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