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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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