| NPI | 1811926983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DAVID PLANCHER Physician 203-863-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 181664) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 030654) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2011-06-15 |