NPI 1255660817
Fairfield Sports and Spine LLC
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
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.