Whalio Doctors

NPI 1003224569

Eastern Sports Medicine and Spine Associates LLC

Organisation Orthopaedic Surgery Physician Bloomfield, CT

Practice location

Address
701 Cottage Grove Road E230, Bloomfield, CT 06002
Phone
(860) 648-0814
Mailing address
99 E River Dr 5th Floor, East Hartford, CT 06108-3288

Authorised official

Name
Cheryl Flanagan
Title
Credentialer
Phone
(860) 282-4133

Registered specialties

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Registry record

NPI
1003224569
Entity type
Organization
NPI issued
29 Jul 2014
Record last updated
4 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.