Organization
ORTHO PA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WALLER MD (PARTNER)
(203) 513-3264
Entity
Organization
Contact information
Practice address
47 BULKLEY AVE N, WESTPORT, CT 06880-4119
(203) 513-3264
Mailing address
2 TRAP FALLS RD STE 404, SHELTON, CT 06484-4670
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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