Organization Name: | ORTHOPAEDIC SPORTS SPECIALISTS, PC |
NPI Number: | 1063531796 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E JOYCE (PRESIDENT) |
Mailing Address: | 84 Glastonbury Blvd Suite 101 Glastonbury |
State: | CT US |
Postal Code: | 060334468 |
Phone Number: | 8606528883 |
Fax Number: | 8606528887 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 034379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |