| NPI | 1417672437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY A KIMMEL President/Owner 860-282-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-11-17 |