| NPI | 1861425597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN JEFFREY WHITE Physician Partner 860-767-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 027273) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-12-08 |