Individual
DR. JONATHAN ROBERT PIPOSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 INDUSTRIAL PARK ROAD, NIANTIC, CT 06357-1904
(860) 889-7345
Mailing address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
55242
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
55242
CT
Other
Enumeration date
06/17/2010
Last updated
04/28/2022
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