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1851920029
PRISM SPORTS MEDICINE, LLC
HARTFORD, CT
NPI
1851920029
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Entity Type
Organization
Authorized Contact
CARL NISSEN
Owner
860-282-4128
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
Enumeration Date
2020-04-08
Last Update Date
2020-04-08
Business Address
PRISM SPORTS MEDICINE, LLC
31 SEYMOUR STREET SUITE 204
HARTFORD, CT 06106
Phone number: 860-282-0833
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Mailing Address
PRISM SPORTS MEDICINE, LLC
35 MOUNTAIN SPRING RD
FARMINGTON, CT 06032-1612
Phone number:
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