Healthcare Provider Details

I. General information

NPI: 1578674297
Provider Name (Legal Business Name): CONNECTICUT FAMILY ORTHOPEDICS, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 12/31/2009
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

Practice location:
  • Phone: 203-792-5558
  • Fax: 203-731-3213
Mailing address:
  • Phone: 203-792-5558
  • Fax: 203-731-3213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE C SCHWEITZER
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 203-792-5558