| NPI | 1881961233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MICHAEL STAUB President 203-254-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 018600) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2016-11-08 |