| NPI | 1720140221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCCO ORLANDO Medical Director 860-263-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| 208800000X Urology | |
| 208C00000X Colon & Rectal Surgery | |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 208200000X Plastic Surgery | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 208600000X Surgery | |
| 2086S0105X Surgery, Surgery of the Hand | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2017-12-18 |