# ORTHOPEDIC ASSOCIATES OF HARTFORD,PC

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

## Provider details

- **NPI number:** 1972500304
- **Authorized official:** LISA M DEMING (CREDENTIALING CODING MANAGER)
- **Authorized official phone:** (860) 549-8276

## Contact information

- **Practice address:** 31 SEYMOUR STREET, SUITE 100, HARTFORD, CT 06106-5501
- **Practice address phone:** (860) 549-3210
- **Practice address fax:** (860) 247-3803
- **Mailing address:** 31 SEYMOUR STREET, SUITE 100, HARTFORD, CT 06106-5501
- **Mailing address phone:** (860) 549-3210
- **Mailing address fax:** (860) 247-3803

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 10/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004002366 | — | CT |
