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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