Potomac Health Of Kansas PC
Orthopaedic Surgery in Stamford, CT. Organization (NPI-2).
NPI number1497465637
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1497465637
- Entity type
- Organization (NPI-2)
- Legal business name
- Potomac Health Of Kansas PC
- Organization subpart
- Yes
- Enumeration date
- Nov 29, 2022
- Certification date
- Nov 23, 2022
- Last updated
- Nov 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
Practice location
1177 High Ridge RdStamford, CT 06905-1221
Phone 201-834-4786
Mailing address
1177 High Ridge RdStamford, CT 06905-1221
Phone 201-834-4786
Authorized official
Jay A Kimmel
Chief Medical Officer
8607286740
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