Organization
ORTHOPEDIC ASSOCIATES OF HARTFORD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J MUDANO (CHIEF FINANCIAL OFFICER)
(860) 549-8279
Entity
Organization
Contact information
Practice address
399 FARMINGTON AVE, SUITE 110, FARMINGTON, CT 06032-1936
(860) 549-8963
Mailing address
270 FARMINGTON AVE, SUITE 102, FARMINGTON, CT 06032-1909
(860) 549-8276
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00413
MEDICARE NUMBER
CT
Enumeration date
08/17/2012
Last updated
06/15/2020
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