| NPI | 1215916085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CAPONE H/R Admin. 203-752-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2013-09-09 |