| NPI | 1801090824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ELIA CEO 203-407-3576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 207T00000X Neurological Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2013-02-26 |