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Organization
WINDHAM ORTHOPAEDICS PROF CORP
Active
Organization
WINDHAM ORTHOPAEDICS PROF CORP
Active
Other names
enfield orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA MONTANO PAPA (OFFICE MANAGER)
(860) 749-9325
Entity
Organization
Contact information
Practice address
111 HAZARD AVE, ENFIELD, CT 06082-4590
(860) 749-8361
(860) 749-2004
Mailing address
111 HAZARD AVE, ENFIELD, CT 06082-4590
(860) 749-8361
(860) 749-2004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004054722
—
CT
Enumeration date
08/07/2007
Last updated
01/19/2012
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