Organization
ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY F REARDON MD (PHYSICIAN/SURGEON)
(860) 347-7636
Entity
Organization
Contact information
Practice address
5 PEQUOT PARK RD, SUITE 202, WESTBROOK, CT 06498-2856
(860) 399-0245
(860) 894-1892
Mailing address
512 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 06457-4788
(860) 347-7636
(860) 894-1882
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
—
004186260
—
CT
Enumeration date
01/26/2012
Last updated
02/24/2012
Update your record
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