INTERVENTIONAL SPINE & SPORTS MEDICINE, PC
Psychiatric in Waterbury, CT

License number
Connecticut 040593
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
License number
Connecticut 040593
Category
Psychiatric
Type
Pain Medicine
Owner
Name: DR. BHAVESH R PATEL M.D.
Title: PHYSICIAN/OWNER
Phone: (203) 645-8859
Address
Address
1579 Straits Tpke Turnpike Office Park, Waterbury, CT 06762
National Provider ID: 1588983415
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INTERVENTIONAL SPINE & SPORTS MEDICINE, PC

1625 Straits Tpke SUITE 205, Middlebury, CT 06762

Registration:
Feb 19, 2010
State ID:
0996585
Business type:
Stock
PRESIDENT:
Bhavesh R. Patel (PRESIDENT), 1625 Straits Tpke SUITE 205, Middlebury, CT 06762 (Mailing)
935 Rainbow Trl, Orange, CT 06477 (Physical)
Agent:
Thomas B. Lynch, Esq,63 Cherry St, Milford, CT 06460 (Mailing)
8 Maple St, Milford, CT 06460 (Physical)

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