# CENTER FOR ORTHOPAEDICS, PC

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

## Provider details

- **NPI number:** 1649574880
- **Authorized official:** MELISSA R CAPONE (CREDENTIALING/HR)
- **Authorized official phone:** (203) 752-3181

## Contact information

- **Practice address:** 1224 MAIN ST, BRANFORD, CT 06405-3778
- **Practice address phone:** (203) 752-3100
- **Practice address fax:** (203) 752-9291
- **Mailing address:** 2200 WHITNEY AVE, SUITE 140, HAMDEN, CT 06518-3691
- **Mailing address phone:** (203) 752-3100
- **Mailing address fax:** (203) 752-9291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 09/09/2013