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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