Organization
ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY F REARDON MD (PHYSICIAN)
(860) 347-7636
Entity
Organization
Contact information
Practice address
41 BREWSTER RD, LEVEL D, BRISTOL, CT 06010-5161
(860) 585-3040
(860) 585-3307
Mailing address
512 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 06457-4788
(860) 347-7636
(860) 894-1894
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004186260
—
CT
Enumeration date
02/24/2012
Last updated
02/24/2012
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