| NPI | 1841319019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J MUDANO Chief Financial Officer 860-549-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 19436) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 030915) |
| 363AS0400X Physician Assistant, Surgical (Licence: CT 001539) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-06-25 |