Organization
COASTAL ORTHOPAEDICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA FRYDRYCH (EXECUTIVE ASSISTANT)
(203) 845-2995
Entity
Organization
Contact information
Practice address
36 OLD KINGS HWY SOUTH, DARIEN, CT 06880
(203) 845-2995
(203) 847-1940
Mailing address
761 MAIN AVE, SUITE 115, NORWALK, CT 06851-1080
(203) 845-2995
(203) 847-1940
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02816
MEDICARE ID
CT
Enumeration date
07/05/2007
Last updated
09/15/2014
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