| NPI | 1487964599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCALLISTER President 860-525-4469 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: CT 34572) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 15927) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CT 22280) | |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2024-07-09 |