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Physicians Orthopaedic Surgery

Provider NPI: 1497849913

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
299 CAREW ST STE 409  SPRINGFIELD, MA 01104-2361 US
Tel: 413-788-7321  Fax: 413-733-6369

Business Mailing Address:
1000 ASYLUM AVE SUITE 2126 HARTFORD, CT 06105-1770 US
Tel: 860-728-6740  Fax: 860-547-1554

NPI Information:
NPI: 1497849913
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Orthopaedic Surgery
Orthopaedic Surgery

Other Provider Identifiers:

1ST OPTION6568F02204NJ01

American Medical Association 2012 taxonomy code information

Code: 2086S0105X





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