Organization
WINDHAM ORTHOPAEDICS PROF CORP
Active
Other names
enfield orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA MONTANO PAPA (OFFICE MANAGER)
(860) 749-9325
Entity
Organization
Contact information
Practice address
111 HAZARD AVE, ENFIELD, CT 06082-4590
(860) 749-8361
(860) 749-2004
Mailing address
111 HAZARD AVE, ENFIELD, CT 06082-4590
(860) 749-8361
(860) 749-2004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004054722
—
CT
Enumeration date
08/07/2007
Last updated
01/19/2012
Update your record
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