Provider Demographics
NPI:1790828184
Name:FAMILY ORTHOPAEDICS, LLC
Entity Type:Organization
Organization Name:FAMILY ORTHOPAEDICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SCHUYLER
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-453-1088
Mailing Address - Street 1:1200 BOSTON POST RD
Mailing Address - Street 2:SUITE 201-B
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2450
Mailing Address - Country:US
Mailing Address - Phone:203-453-1088
Mailing Address - Fax:203-458-2980
Practice Address - Street 1:12 VILLAGE ST
Practice Address - Street 2:SUITE 8
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3828
Practice Address - Country:US
Practice Address - Phone:203-453-1088
Practice Address - Fax:203-458-2980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT028508174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTS383492OtherAMERICAN IMAGING
CT2V6915OtherHEALTHNET
CT1092212OtherAETNA
CT1754659OtherUNITED HEALTHCARE
CT485315OtherCONNECTICARE
CT010028508CT09OtherANTHEM BCBS
CT0181552OtherCIGNA
CTP2564839OtherOXFORD
CT2V6915OtherHEALTHNET