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Organization
ORTHOCONNECTICUT, PC
Active
Organization
ORTHOCONNECTICUT, PC
Active
Other names
DBA, Coastal Orthopaedics, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C LYON (EXECUTIVE DIRECTOR)
(203) 845-2200
Entity
Organization
Contact information
Practice address
131 KINGS HWY N, WESTPORT, CT 06880-2439
(203) 845-2200
(203) 847-1940
Mailing address
761 MAIN AVE, SUITE 115, NORWALK, CT 06851-1080
(203) 845-2200
(203) 847-1940
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363AS0400X
Surgical Physician Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
09/19/2014
Last updated
12/15/2015
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