Whalio Doctors

NPI 1871799635

Valley Sports Physicians & Orthopedic Medicine

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Avon, CT

Practice location

Address
54 W Avon Rd Suite 202, Avon, CT 06001-3680
Phone
(860) 675-0357
Fax
(860) 675-0358

Authorised official

Name
Nichole Wedderburn
Title
Office / Billing Manager
Phone
(860) 675-0357

Registered specialties (4)

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 040264 (CT)
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 000406 (CT)
Sports Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 040264 (CT)
Sports Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 000406 (CT)

Registry record

NPI
1871799635
Entity type
Organization
NPI issued
26 Jun 2007
Record last updated
24 Oct 2007

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.