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Contact Information

CONNECTICUT VALLEY ORTHOPAEDICS & SPORTS MEDICINE, PC
106 HANOVER ST
LEBANON, NH03766-1042
 Phone: 802-885-6379
 Fax: 802-885-6376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for CONNECTICUT VALLEY ORTHOPAEDICS SPORTS MEDICINE PC · (Female)

NPI Number 1487732822
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2006
Last updated 05/05/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NH Medicaid 30008018
  • VT Medicaid VN1017
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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