# ORTHO PA SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619861556
- **Authorized official:** SCOTT WALLER MD (PARTNER)
- **Authorized official phone:** (203) 513-3264

## Contact information

- **Practice address:** 47 BULKLEY AVE N, WESTPORT, CT 06880-4119
- **Practice address phone:** (203) 513-3264
- **Mailing address:** 2 TRAP FALLS RD STE 404, SHELTON, CT 06484-4670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2025
- **Last updated:** 06/05/2025