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NPI Code Detail

MEDICARE: COASTAL ORTHOPAEDICS, PC

MEDICARE: COASTAL ORTHOPAEDICS, 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
1207XS0106XOrthopaedic Hand Surgery Physician
2207XS0117XOrthopaedic Surgery of the Spine Physician
3207XX0005XSports Medicine (Orthopaedic Surgery) Physician
4208VP0000XPain Medicine Physician
5207XX0004XOrthopaedic Foot and Ankle Surgery Physician
6207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1669471371
Entity Type Code : Organization
Provider Name (Legal Business Name) : COASTAL ORTHOPAEDICS, PC
Provider Business Mailing Address
First Line : 761 MAIN AVE
Second Line : SUITE 115
City : NORWALK
State : CT
Zip : 06851-1080
Country : US
Telephone Number : 203-845-2200
Fax Number : 203-847-1940
Provider Business Practice Location Address
First Line : 761 MAIN AVE
Second Line : SUITE 115
City : NORWALK
State : CT
Zip : 06851-1080
Country : US
Telephone Number : 203-845-2200
Fax Number : 203-847-1940
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : RICHARD LYON
Credential :
Telephone Number : 203-845-2069
Provider Enumeration Date : 07/15/2005
Last Update Date : 09/15/2014

Similar Medicare Providers

1043212350 — DR. FRANK JOHN PINTO JR. MD
Practice Location Address:
761 MAIN AVE , SUITE 102
NORWALK, CT
06851-1080
Practice Phone: 203-810-4151
Practice Fax: 203-810-4150
1487653226 — JEFFREY V DELUCA M.D.
Practice Location Address:
761 MAIN AVE , SUITE 115
NORWALK, CT
06851-1080
Practice Phone: 203-845-2200
Practice Fax: 203-847-1940
1871592600 — JEROME BARTON M.D.
Practice Location Address:
761 MAIN AVE , SUITE 115
NORWALK, CT
06851-1080
Practice Phone: 203-845-2200
Practice Fax: 203-847-1940
1144229840 — ROBERT LEE BRADY M.D.
Practice Location Address:
761 MAIN AVE STE 115
NORWALK, CT
06851-1080
Practice Phone: 203-845-2200
Practice Fax: 203-845-2200
1639178346 — PAUL A MARKEY M.D.
Practice Location Address:
761 MAIN AVE , SUITE 115
NORWALK, CT
06851-1080
Practice Phone: 203-845-2200
Practice Fax: 203-847-1940
1508865288 — NICHOLAS V. POLIFRONI M.D.
Practice Location Address:
761 MAIN AVE , SUITE 115
NORWALK, CT
06851-1080
Practice Phone: 203-845-2200
Practice Fax: 203-847-1940

Directions to “COASTAL ORTHOPAEDICS, PC ” Practice Location

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