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 |