Healthcare Provider Details

I. General information

NPI: 1477692770
Provider Name (Legal Business Name): DANBURY ORTHOPEDIC ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 08/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 PARK LANE RD SUITE A202
NEW MILFORD CT
06776-2444
US

IV. Provider business mailing address

226 WHITE ST
DANBURY CT
06810-6814
US

V. Phone/Fax

Practice location:
  • Phone: 860-355-1010
  • Fax: 203-546-6016
Mailing address:
  • Phone: 203-797-1500
  • Fax: 203-791-0495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID GREENFIELD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 203-797-1500