Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 045125 | CT |
NPI | 1205040524 |
---|---|
Provider Name | Michael G Soojian |
First Address | Norwalk, CT 06851-1080 |
Second Address | Norwalk, CT 06851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 28/08/2018 |