Most Relevant Information
Provider Data
| NPI Number: | 1003259706 |
| Provider Name: | THOMAS RYAN HICKERNELL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207X00000X |
| Specialty: | Orthopaedic Surgery |
| License Number: | 72658 |
Most Important Dates
| Enumeration Date: | 04/11/2013 |
| Last Updated: | 10/19/2022 |
Provider Practice Location
260 LONG RIDGE ROAD
STAMFORD
CT
069273720
Practice Location Phone/Fax
| Phone: | 2037852579 |
| Fax: |
Provider Mailing Location
260 LONG RIDGE RD
STAMFORD
CT
069021638
Provider Mailing Phone/Fax
| Phone: | 2037852579 |
| Fax: |
Suggested EMR
Orthopedic EMR