Organization
ORTHOPAEDIC SPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A STATON MD (PARTNER)
(203) 337-2600
Entity
Organization
Contact information
Practice address
2909 MAIN STREET, STRATFORD, CT 06614
(203) 377-5108
(203) 378-6077
Mailing address
2909 MAIN STREET, STRATFORD, CT 06614
(203) 377-5108
(203) 378-6077
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
02/14/2008
Last updated
04/07/2008
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