| NPI | 1932234440 |
|---|---|
| Doing Business As | THE ORTHOPAEDIC & SPORTS MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | KELLY M POULIN Practice Administrator 203-268-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2012-03-16 |