OrganizationActive
Connecticut Back Center LLC
NPI 1174564942 · Orthopaedic Surgery Physician · Vernon, CT
Provider details
- NPI number
- 1174564942
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Eisler, Office Manager(860) 872-6229
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
460 Hartford Tpke
Suite B
Vernon, CT 06066-4845
Phone: (860) 872-6229
Fax: (860) 872-6252
Approximate (ZIP-level) locationGet directions
Mailing address
460 Hartford Tpke
Vernon, CT 06066-4845
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2007-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.