Healthcare Provider Details

I. General information

NPI: 1114942133
Provider Name (Legal Business Name): PLANCHER ORTHOPAEDICS,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 RIVER RD
COS COB CT
06807-2152
US

IV. Provider business mailing address

31 RIVER RD
COS COB CT
06807-2152
US

V. Phone/Fax

Practice location:
  • Phone: 203-863-2003
  • Fax: 203-863-2025
Mailing address:
  • Phone: 203-863-2003
  • Fax: 203-863-2025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number042365
License Number StateCT

VIII. Authorized Official

Name: DR. MICHAEL A SCHWARTZ
Title or Position: PHYSICIAN
Credential: MD
Phone: 203-863-2003