| NPI | 1386159861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BADER CEO 203-407-3577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 111N00000X Chiropractor | |
| 111NS0005X Chiropractor Sports Physician | |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma | |
| 208100000X Physical Medicine & Rehabilitation | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 225100000X Physical Therapist | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2025-03-12 |