# ORTHOPEDIC ASSOCIATES OF HARTFORD,PC

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

## Provider details

- **NPI number:** 1841319019
- **Authorized official:** DAVID J MUDANO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (860) 549-8276

## Contact information

- **Practice address:** 40 HART ST, NEW BRITAIN, CT 06052-1743
- **Practice address phone:** (860) 223-8553
- **Practice address fax:** (860) 223-7273
- **Mailing address:** 270 FARMINGTON AVE, SUITE 102, FARMINGTON, CT 06032-1909
- **Mailing address phone:** (860) 549-8276
- **Mailing address fax:** (860) 674-8084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 030915 | CT | — |
| 207X00000X | Orthopaedic Surgery Physician | 19436 | CT | Yes |
| 363AS0400X | Surgical Physician Assistant | 001539 | CT | — |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 06/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C00413 | GROUP NUMBER | CT |