# ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC

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

## Provider details

- **NPI number:** 1346511037
- **Authorized official:** DR. TERRY F REARDON MD (PHYSICIAN/SURGEON)
- **Authorized official phone:** (860) 347-7636

## Contact information

- **Practice address:** 5 PEQUOT PARK RD, SUITE 202, WESTBROOK, CT 06498-2856
- **Practice address phone:** (860) 399-0245
- **Practice address fax:** (860) 894-1892
- **Mailing address:** 512 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 06457-4788
- **Mailing address phone:** (860) 347-7636
- **Mailing address fax:** (860) 894-1882

## 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:** 01/26/2012
- **Last updated:** 02/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004186260 | — | CT |