# COMPREHENSIVE ORTHOPEDICS & MUSCULOSKELETAL CARE LLC

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

## Provider details

- **NPI number:** 1730045592
- **Authorized official:** MRS. KATHY OLIVEIRA-GAGNON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (401) 573-4317

## Contact information

- **Practice address:** 601 N. MAIN STREET, SOUTHINGTON, CT 06489
- **Practice address phone:** (203) 265-3280
- **Practice address fax:** (203) 741-6569
- **Mailing address:** 863 N MAIN STREET EXT STE 200, WALLINGFORD, CT 06492-2434

## 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:** 12/24/2025
- **Last updated:** 12/24/2025