Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 029432 | CT |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 029432 | CT |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 029432 | CT |
NPI | 1215960067 |
---|---|
Provider Name | Dr. Michael R Redler |
First Address | Hamden, CT 06518-3209 |
Second Address | Trumbull, CT 06611-4552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 22/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D02940 | (02) | CT |