Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | IN TRAINING | DC |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 4301102407 | MI |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 53148 | CT |
NPI | 1760638324 |
---|---|
Provider Name | Dr. Sean C Peden |
First Address | Greenwich, CT 06831-5151 |
Second Address | Greenwich, CT 06831-5151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2008 |
Last Update Date | 27/02/2017 |