Organization
ORTHOPEDIC SURGERY & SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIRK H DUGAN MD (PRESIDENT CFO)
(607) 272-7000
Entity
Organization
Contact information
Practice address
1301 TRUMANSBURG RD, SUITE R, ITHACA, NY 14850-1397
(607) 272-7000
(607) 272-4604
Mailing address
1301 TRUMANSBURG RD, SUITE R, ITHACA, NY 14850-1397
(607) 272-7000
(607) 272-4604
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1346861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000910746001
HEALTHNOW
NY
05
—
00722803
—
NY
01
—
4217146
AETNA
NY
Enumeration date
10/06/2006
Last updated
08/22/2020
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