NPI | 1740583418 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA R. CAPONE Credentialing/Hr 203-752-3181 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
213E00000X Podiatrist | |
363A00000X Physician Assistant | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2010-12-17 |
Last Update Date | 2013-09-09 |