| NPI | 1215105523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL TRUDEL Billing Manager 860-678-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 18635) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-03-07 |