Whalio Doctors

NPI 1255660817

Fairfield Sports and Spine LLC

Organisation Sports Medicine (Physical Medicine & Rehabilitation) Physician Bridgeport, CT

Practice location

Address
650 Clinton Ave Second Floor, Bridgeport, CT 06605-1704
Phone
(203) 372-0649
Mailing address
10 Wimbledon Ln, Easton, CT 06612-1238

Authorised official

Name
Sean R Kelly
Title
Owner
Phone
(203) 372-0649

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081S0010X

Registry record

NPI
1255660817
Entity type
Organization
NPI issued
10 Dec 2009
Record last updated
27 Mar 2013

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.