Organization Name: | COASTAL ORTHOPAEDICS, P.C. |
NPI Number: | 1356418529 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD LYON (EXECUTIVE DIRECTOR) |
Mailing Address: | 131 Kings Hwy N Westport |
State: | CT US |
Postal Code: | 068802439 |
Phone Number: | 2038452200 |
Fax Number: | 2038471940 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |