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Organization
COASTAL ORTHOPAEDICS, PC
Active
Organization
COASTAL ORTHOPAEDICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LYON (EXECUTIVE DIRECTOR)
(203) 845-2069
Entity
Organization
Contact information
Practice address
761 MAIN AVE, SUITE 115, NORWALK, CT 06851-1080
(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
—
—
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
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
07/15/2005
Last updated
09/15/2014
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