Organization
ADVANCED ORTHOPEDICS NEW ENGLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICAH KRUGER M.D. (PHYSICIAN)
(860) 728-6740
Entity
Organization
Contact information
Practice address
54 W AVON RD, SUITE 104, AVON, CT 06001-3680
(860) 728-6740
(860) 547-1554
Mailing address
1000 ASYLUM AVE STE 2126, HARTFORD, CT 06105-1719
(860) 728-6740
(860) 547-1554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
CT
335E00000X
Prosthetic/Orthotic Supplier
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00117
MEDICARE PTAN
CT
Enumeration date
04/21/2011
Last updated
03/12/2021
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