| NPI | 1982775276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JON OLSON President 203-755-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 202C00000X Independent Medical Examiner |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 363AS0400X Physician Assistant, Surgical | |
| 363A00000X Physician Assistant | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2012-08-02 |