| NPI | 1336189281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE K DONAHUE Managing Member 860-826-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT ID044382) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 028945) |
| 363A00000X Physician Assistant (Licence: CT 001357) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |