NPI 1477197671
Spine Center of CT, PLLC
Practice location
- Address
- 67 Sand Pit Rd STE 308, Danbury, CT 06810-4032
- Phone
- (203) 743-7264
- Fax
- (203) 792-3920
- Mailing address
- 11350 McCormick Rd Executive Plaza 1, Suite 501, Hunt Valley, MD 21031-1002
Authorised official
- Name
- Rae Davis
- Title
- Owner
- Phone
- (571) 223-8770
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1477197671
- Entity type
- Organization
- NPI issued
- 30 Oct 2019
- Record last updated
- 26 Nov 2019
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.