# WINDHAM ORTHOPAEDICS PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** enfield orthopaedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326239096
- **Authorized official:** MRS. MELISSA MONTANO PAPA (OFFICE MANAGER)
- **Authorized official phone:** (860) 749-9325

## Contact information

- **Practice address:** 111 HAZARD AVE, ENFIELD, CT 06082-4590
- **Practice address phone:** (860) 749-8361
- **Practice address fax:** (860) 749-2004
- **Mailing address:** 111 HAZARD AVE, ENFIELD, CT 06082-4590
- **Mailing address phone:** (860) 749-8361
- **Mailing address fax:** (860) 749-2004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 01/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004054722 | — | CT |