| NPI | 1306054309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E NEAL Practice Administrator 860-704-6037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 208100000X Physical Medicine & Rehabilitation (Licence: CT 043826) | |
| 213ES0131X Podiatrist Foot Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-03-19 |