# OLD AVON ORTHOPEDICS, PC

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

## Provider details

- **NPI number:** 1215105523
- **Authorized official:** MS. CRYSTAL TRUDEL (BILLING MANAGER)
- **Authorized official phone:** (860) 678-0022

## Contact information

- **Practice address:** 2 SIMSBURY RD, AVON, CT 06001-3711
- **Practice address phone:** (860) 678-0022
- **Practice address fax:** (860) 674-1018
- **Mailing address:** 2 SIMSBURY RD, AVON, CT 06001-3711
- **Mailing address phone:** (860) 678-0022
- **Mailing address fax:** (860) 674-1018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 18635 | CT | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 03/07/2008