# WASKOWITZ ORTHOPAEDICS & SPORTS MEDICINE LLC

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

## Provider details

- **NPI number:** 1538322110
- **Authorized official:** DR. ROBERT S. WASKOWITZ M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (860) 224-6709

## Contact information

- **Practice address:** 40 HART ST, BLDG. B, NEW BRITAIN, CT 06052-1743
- **Practice address phone:** (860) 224-6709
- **Practice address fax:** (860) 223-7915
- **Mailing address:** 40 HART ST, BLDG. B, NEW BRITAIN, CT 06052-1743
- **Mailing address phone:** (860) 224-6709
- **Mailing address fax:** (860) 223-7915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 01/12/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001387423 | — | CT |