Eastern Connecticut Medical Professionals Foundation, INC
Specialist in South Windsor, CT. Organization (NPI-2).
NPI number1497864516
StatusActive
Last updated in NPPESDec 19, 2012
Details
- NPI
- 1497864516
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastern Connecticut Medical Professionals Foundation, INC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Dec 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Other names
- Eastern Orthopeadics And Sports Medicine, PC (Doing Business As)
Practice location
2800 Tamarack AvenueSuite 104
South Windsor, CT 06074
Phone 860-648-4480 · Fax 860-648-2132
Mailing address
2800 Tamarack AvenueSuite 104
South Windsor, CT 06074
Phone 860-648-4480 · Fax 860-648-2132
Authorized official
Kenneth R Alleyne
Owner
8606484480
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