# BRISTOL ORTHOPAEDICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104800788
- **Authorized official:** MR. SCOTT W ORGAN MD (MD PARTNER)
- **Authorized official phone:** (860) 582-6603

## Contact information

- **Practice address:** 641 CLARK AVE, BRISTOL, CT 06010-4068
- **Practice address phone:** (860) 582-6603
- **Practice address fax:** (860) 585-9245
- **Mailing address:** 641 CLARK AVE, BRISTOL, CT 06010-4068
- **Mailing address phone:** (860) 582-6603
- **Mailing address fax:** (860) 585-9245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2005
- **Last updated:** 07/02/2021