| NPI | 1558474742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN J O'DONNELL Officer/Secretary 860-685-8940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 174400000X Specialist | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-05-11 |