Organization · Type 2 NPI

Sports Medicine and Orthopedic Surgery

Sports Medicine (Orthopaedic Surgery) Physician · Tolland, CT

NPI number 1467745679 Active

Practice location

100 Gerber Dr, Suite 2A
Tolland, CT 06084-2851

Fax (860) 643-3642

Mailing address

99 East River Drive, 5th Floor-Credentialing
East Hartford, CT 06108-7301

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005XNone listed

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

About NPI 1467745679

Sports Medicine and Orthopedic Surgery's National Provider Identifier is 1467745679, issued on May 20, 2011. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Tolland, CT. The record was last updated on Aug 3, 2011.