| NPI | 1356906515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA B FRYDRYCH Credentialing Coordinator 203-797-1500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |