# DARYLE A RUARK MD ORTHOPEDIC SURGEON PC

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

## Provider details

- **NPI number:** 1629915756
- **Authorized official:** MATTHEW J GROSSO MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (516) 662-8708

## Contact information

- **Practice address:** 224 HARTFORD TPKE, VERNON, CT 06066-4763
- **Practice address phone:** (860) 728-6740
- **Practice address fax:** (860) 547-1554
- **Mailing address:** 224 HARTFORD TPKE, VERNON, CT 06066-4763
- **Mailing address phone:** (860) 728-6740
- **Mailing address fax:** (860) 547-1554

## Taxonomy

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

## Other

- **Enumeration date:** 04/29/2026
- **Last updated:** 08/20/2026