Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 57097 | CT |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 35.120785 | OH |
NPI | 1093919805 |
---|---|
Provider Name | Frank J Pompo |
First Address | Torrington, CT 06790-7217 |
Second Address | Torrington, CT 06790-7217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 17/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04037270 | (05) | NY |