| NPI | 1104024728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA FRYDRYCH Executive Assistant 203-845-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2014-09-15 |