| NPI | 1033244892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L WIRTH Practice Administrator 203-758-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 027466) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |