MEDICARE: DANBURY ORTHOPEDIC ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician
2	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1477692770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANBURY ORTHOPEDIC ASSOCIATES PC

Provider Business Mailing Address
First Line	:	226 WHITE ST
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-6814
Country	:	US
Telephone Number	:	203-797-1500
Fax Number	:	203-791-0495

Provider Business Practice Location Address
First Line	:	120 PARK LANE RD
Second Line	:	SUITE A202
City	:	NEW MILFORD
State	:	CT
Zip	:	06776-2444
Country	:	US
Telephone Number	:	860-355-1010
Fax Number	:	203-546-6016

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. DAVID GREENFIELD
Credential	:
Telephone Number	:	203-797-1500

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	08/10/2012

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