Healthcare Provider Details
I. General information
NPI: 1619057510
Provider Name (Legal Business Name): CONNECTICUT FAMILY ORTHOPEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/16/2006
Last Update Date: 08/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33 HOSPITAL AVENUE
DANBURY CT
06810-6007
US
IV. Provider business mailing address
33 HOSPITAL AVENUE
DANBURY CT
06810-6007
US
V. Phone/Fax
- Phone: 203-792-5558
- Fax: 203-731-3213
- Phone: 203-792-5558
- Fax: 203-731-3213
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAWRENCE
CHESS
SCHWEITZER
Title or Position: MANAGING PARTNER
Credential: MD FRCS
Phone: 203-792-5558