Organization
MIDDLESEX ORTHOPEDIC SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN J O'DONNELL MD (OFFICER/SECRETARY)
(860) 685-8940
Entity
Organization
Contact information
Practice address
410 SAYBROOK RD, STE 100, MIDDLETOWN, CT 06457-4780
(860) 685-8940
Mailing address
410 SAYBROOK RD, STE 100, MIDDLETOWN, CT 06457-4780
(860) 685-8940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
CT
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004000469
—
CT
Enumeration date
08/15/2006
Last updated
05/11/2012
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