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Organization

COASTAL ORTHOPAEDICS, PC

Active
Parent organization
COASTAL ORTHOPAEDICS, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COASTAL ORTHOPAEDICS, PC
Authorized official
RICHARD C LYON (EXECUTIVE DIRECTOR)
(203) 845-2200
Entity
Organization

Contact information

Practice address
30 EAST AVE, NEW CANAAN, CT 06840-5516
(203) 845-2200
(203) 847-1940
Mailing address
761 MAIN AVE, SUITE 300, NORWALK, CT 06851-1080
(203) 845-2200
(203) 847-1940

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
CT
207XP3100X
Pediatric Orthopaedic Surgery Physician
CT
207XS0106X
Orthopaedic Hand Surgery Physician
CT
207XS0117X
Orthopaedic Surgery of the Spine Physician
CT
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
CT
207XX0801X
Orthopaedic Trauma Physician
CT
208VP0014X
Interventional Pain Medicine Physician
CT

Other

Enumeration date
05/31/2013
Last updated
09/15/2014
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