# DONNELLY ORTHOTIC AND PROSTHETIC SYSTEMS LLC

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

## Provider details

- **NPI number:** 1245522085
- **Authorized official:** MR. PATRICK DONNELLY CPO (MEMBER)
- **Authorized official phone:** (203) 605-1725

## Contact information

- **Practice address:** 27 FAIR HARBOUR PL, NEW LONDON, CT 06320-4710
- **Practice address phone:** (203) 605-1725
- **Mailing address:** 27 FAIR HARBOUR PL, NEW LONDON, CT 06320-4710
- **Mailing address phone:** (203) 605-1725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 05/12/2011