Provider Demographics
NPI:1982996518
Name:MICHAEL P. CONNAIR, M.D., ORTHOPAEDIC SURGEON, P.C.
Entity Type:Organization
Organization Name:MICHAEL P. CONNAIR, M.D., ORTHOPAEDIC SURGEON, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PIERCE
Authorized Official - Last Name:CONNAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-777-2044
Mailing Address - Street 1:12 VILLAGE ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-3828
Mailing Address - Country:US
Mailing Address - Phone:203-777-2044
Mailing Address - Fax:203-773-3641
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:203-777-2044
Practice Address - Fax:203-773-3641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT022607174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT200000240OtherMEDICARE PTAN
CT200000240OtherMEDICARE PTAN