NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1003224569 |   |   |   | EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC | 99 E RIVER DR | EAST HARTFORD | CT | 061083288 |
1679950950 |   |   |   | EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC | 99 EAST RIVER DR | EAST HARTFORD | CT | 061087301 |