Connecticut Intrgrated Neuro & Spine

NPI 1013109883 - Neurological Surgery - 207T00000X

NPI Details
NPI 1013109883
Enumeration Date 08/15/2007
Last Updated 08/15/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDWARD W EDWARD
Position SURGEON
Phone (860) 832-4664
Fax (860) 832-4665
Practice Location
114 W MAIN ST
NEW BRITAIN CT, 06051-4223, US
Phone (860) 832-4664
Fax (860) 832-4665
Business Location
114 W MAIN ST
NEW BRITAIN CT, 06051-4223, US
Phone (860) 832-4664
Fax (860) 832-4665
Toxanomy
Taxonomy Code 207T00000X
License State Connecticut
License Number 036406
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According to our database, Connecticut Intrgrated Neuro & Spine NPI is 1013109883, taxonomy code is 207T00000X and license number is 036406, license state is located at Connecticut. Connecticut Intrgrated Neuro & Spine physically located at 114 W Main St, New Britain CT, 06051-4223. NPI Number 1033115704 has the healthcare provider type.

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1013109883 NPI number is provided on an as is basis without warranty of any kind. 1013109883 is maintained by the National Plan & Provider Enumeration System. The contents of Connecticut Intrgrated Neuro & Spine are for informational purposes only.