| NPI | 1285036186 |
|---|---|
| Doing Business As | DBA, COASTAL ORTHOPAEDICS, PC |
| Entity Type | Organization |
| Authorized Contact | RICHARD C LYON Executive Director 203-845-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2015-12-18 |