# ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC

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

## Provider details

- **NPI number:** 1225302136
- **Authorized official:** DR. TERRY F REARDON MD (PHYSICIAN)
- **Authorized official phone:** (860) 347-7636

## Contact information

- **Practice address:** 41 BREWSTER RD, LEVEL D, BRISTOL, CT 06010-5161
- **Practice address phone:** (860) 585-3040
- **Practice address fax:** (860) 585-3307
- **Mailing address:** 512 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 06457-4788
- **Mailing address phone:** (860) 347-7636
- **Mailing address fax:** (860) 894-1894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 02/24/2012
- **Last updated:** 02/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004186260 | — | CT |