| NPI | 1679950950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL FLANAGAN Credentialer 860-282-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 038984) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |