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Organization
SEACOAST ORTHOPEDIC SURGERY & SPORTS MEDICINE LLC
Active
Organization
SEACOAST ORTHOPEDIC SURGERY & SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN B CARLOW MD (DOCTOR)
(860) 449-1413
Entity
Organization
Contact information
Practice address
495 ROUTE 184, SUITE 300, GROTON, CT 06340
(860) 449-1413
(860) 449-0390
Mailing address
495 ROUTE 184, SUITE 300, GROTON, CT 06340
(860) 449-1413
(860) 449-0390
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001253582
—
CT
05
—
001272939
—
CT
05
—
001409756
—
CT
05
—
004237146
—
CT
01
—
040975
LICENSE NUMBER
CT
01
—
047870
LICENSE NUMBER
CT
Enumeration date
05/16/2006
Last updated
01/23/2013
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