# MIDDLESEX ORTHOPEDIC SURGEONS PC

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

## Provider details

- **NPI number:** 1558474742
- **Authorized official:** SEAN J O'DONNELL MD (OFFICER/SECRETARY)
- **Authorized official phone:** (860) 685-8940

## Contact information

- **Practice address:** 410 SAYBROOK RD, STE 100, MIDDLETOWN, CT 06457-4780
- **Practice address phone:** (860) 685-8940
- **Mailing address:** 410 SAYBROOK RD, STE 100, MIDDLETOWN, CT 06457-4780
- **Mailing address phone:** (860) 685-8940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | CT | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 05/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004000469 | — | CT |