# NORTHEAST ORTHOPAEDIC & HAND SURGERY PC

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

## Provider details

- **NPI number:** 1235204009
- **Authorized official:** ROBERT P HENDRIKSON MD (PRESIDENT)
- **Authorized official phone:** (203) 755-9166

## Contact information

- **Practice address:** 60 WESTWOOD AVE, SUITE 300, WATERBURY, CT 06708
- **Practice address phone:** (203) 755-9166
- **Practice address fax:** (203) 755-5932
- **Mailing address:** 60 WESTWOOD AVE, SUITE 300, WATERBURY, CT 06708
- **Mailing address phone:** (203) 755-9166
- **Mailing address fax:** (203) 755-5932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 02/18/2016
