| NPI | 1982998571 |
|---|---|
| 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 | 2011-06-01 |
| Last Update Date | 2012-02-16 |