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Organization

NORWICH ORTHOPEDIC GROUP, PC

Active
Other names
Orthopedic Partners
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAMMIE SIMAO (CEO)
(860) 885-7200
Entity
Organization

Contact information

Practice address
11 INDUSTRIAL PARK RD, NIANTIC, CT 06357-1904
(860) 889-7345
(860) 885-7229
Mailing address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345
(860) 885-7229

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
207XX0801X
Orthopaedic Trauma Physician
208100000X
Physical Medicine & Rehabilitation Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
2085R0202X
Diagnostic Radiology Physician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004002358
CT
Enumeration date
05/10/2016
Last updated
05/10/2016
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