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Organization
COASTAL ORTHOPAEDICS, P.C.
Active
Organization
COASTAL ORTHOPAEDICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD 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
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
NULL
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
225XH1200X
Hand Occupational Therapist
—
NULL
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
11/30/2006
Last updated
09/15/2014
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