| NPI | 1174784797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD DAVID APPLEGATE Director 860-391-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CT 044333) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2012-07-09 |