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 |