NPI | 1700129624 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM GODBURN Executive Director COO 203-573-6434 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
207T00000X Neurological Surgery | |
Enumeration Date | 2013-03-28 |
Last Update Date | 2019-06-18 |