PAIN & SPINE SPECIALISTS OF CONNECTICUT LLC NPI 1528326733

NPI Information

PAIN & SPINE SPECIALISTS OF CONNECTICUT LLC is a specialist in Farmington, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PAIN & SPINE SPECIALISTS OF CONNECTICUT LLC NPI is 1528326733. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11 SOUTH RD
250
FARMINGTON, CT
ZIP 06032-483
Phone: (860) 674-0222
Fax: (860) 674-0024

The provider's authorized official is David C Levi .
The authorized official title is President and has the following contact phone number (203) 743-7246.

The CLIA number assigned to this NPI record is 07D1106335 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2012 and was last updated on 11/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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