Organization
NEUROSURGERY, ORTHOPAEDICS & SPINE SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GODBURN (EXECUTIVE DIRECTOR - COO)
(203) 573-6434
Entity
Organization
Contact information
Practice address
690 MAIN ST S, SOUTHBURY, CT 06488-2267
(203) 755-6677
Mailing address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
(203) 755-7166
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
03/28/2013
Last updated
06/18/2019
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