| NPI | 1346511037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY F REARDON Physician/Surgeon 860-347-7636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-02-24 |