Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 044950 | CT |
N | 207X00000X | Orthopaedic Surgeon | 44805 | MN |
Y | 207X00000X | Orthopaedic Surgeon | 44950 | CT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 44950 | CT |
NPI | 1548232085 |
---|---|
Provider Name | Dr. John Stephen Reach JR. |
First Address | Hamden, CT 06518-3209 |
Second Address | Essex, CT 06426-1500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 23/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H66507 | (02) |