NPI | 1316239262 |
---|---|
Doing Business As | COMMUNITY PEDICATRIC ORTHOPEDICS AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | THOMAS A MALSTO CEO 3177-621-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
Enumeration Date | 2011-05-11 |
Last Update Date | 2011-05-11 |