# CT ORTHOPEDICS & SPORTS MEDICINE PC

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

## Provider details

- **NPI number:** 1457403537
- **Authorized official:** DR. THOMAS J STEVENS MD (PRESIDENT)
- **Authorized official phone:** (860) 242-0100

## Contact information

- **Practice address:** 47 JOLLEY DRIVE, BLOOMFIELD, CT 06002
- **Practice address phone:** (860) 242-0100
- **Practice address fax:** (860) 242-3039
- **Mailing address:** 47 JOLLEY DRIVE, BLOOMFIELD, CT 06002
- **Mailing address phone:** (860) 242-0100
- **Mailing address fax:** (860) 242-3039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 10/01/2013