| NPI | 1740219039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BADER CEO 203-407-3577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2024-08-21 |