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Organization
SHAWS COVE ORTHOPAEDICS, LLC
Active
Organization
SHAWS COVE ORTHOPAEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A MILLER D.O. (PRESIDENT/OWNER)
(860) 444-9022
Entity
Organization
Contact information
Practice address
6 SHAWS CV, SUITE 101, NEW LONDON, CT 06320-4969
(860) 444-9022
(860) 444-7768
Mailing address
6 SHAWS CV, SUITE 101, NEW LONDON, CT 06320-4969
(860) 444-9022
(860) 444-7768
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
000371
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184692162
DMERC
CT
Enumeration date
07/22/2006
Last updated
02/11/2010
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