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Organization

COASTAL ORTHOPAEDICS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD LYON (EXECUTIVE DIRECTOR)
(203) 845-2200
Entity
Organization

Contact information

Practice address
131 KINGS HWY N, WESTPORT, CT 06880-2439
(203) 845-2200
(203) 847-1940
Mailing address
761 MAIN AVE, SUITE 115, NORWALK, CT 06851-1080
(203) 845-2200
(203) 847-1940

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207X00000X
Orthopaedic Surgery Physician
Primary
207XP3100X
Pediatric Orthopaedic Surgery Physician
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208VP0000X
Pain Medicine Physician
225XH1200X
Hand Occupational Therapist

Other

Enumeration date
11/30/2006
Last updated
09/15/2014
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