Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 26467 | MA |
NPI | 1134168123 |
---|---|
Provider Name | Richard G Eaton |
First Address | New Rochelle, NY 10805-1222 |
Second Address | Brewster, MA 02631-1353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 08/07/2007 |