| NPI | 1376742031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E RAFTERY Owner 203-758-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CT 041372) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2008-06-20 |