| NPI | 1922037084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN D PLANCHER Physician 203-863-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CT 044107) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2011-06-23 |