# PLANCHER ORTHOPAEDICS & SPORTS MEDICINE,PLLC

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

## Provider details

- **NPI number:** 1811926983
- **Authorized official:** DR. KEVIN DAVID PLANCHER MD (PHYSICIAN)
- **Authorized official phone:** (203) 863-2003

## Contact information

- **Practice address:** 31 RIVER RD, SUITE 100, COS COB, CT 06807-2152
- **Practice address phone:** (203) 863-2003
- **Practice address fax:** (203) 863-2025
- **Mailing address:** 1160 PARK AVE, NEW YORK, NY 10128-1212
- **Mailing address phone:** (212) 876-5200
- **Mailing address fax:** (212) 876-4440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 030654 | CT | — |
| 207X00000X | Orthopaedic Surgery Physician | 181664 | NY | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 06/15/2011
