| NPI | 1053713222 |
|---|---|
| Doing Business As | DBA, COASTAL ORTHOPAEDICS, PC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL M. LYNCH President 203-845-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2018-05-23 |