| NPI | 1558313767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE BRITTIS Managing Employee 203-337-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-01-24 |