Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 044923 | CT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 044923 | CT |
NPI | 1780712463 |
---|---|
Provider Name | Randolph J Sealey |
First Address | Danbury, CT 06810-6268 |
Second Address | Danbury, CT 06810-6268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 04/08/2020 |