Organization
HARTFORD ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY SKORSKI (OWNER)
(860) 670-5874
Entity
Organization
Contact information
Practice address
51 SHUNPIKE RD, SUITE 41, CROMWELL, CT 06416-2497
(860) 635-7653
(860) 635-2080
Mailing address
2842 MAIN ST, #212, GLASTONBURY, CT 06033
(860) 670-5874
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
444102
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004245511
—
CT
01
—
12DME0838CT01
ANTHEM
CT
01
—
CW0774
HEALTHNET
CT
01
—
N292377
WELLCARE
CT
Enumeration date
10/25/2007
Last updated
01/17/2014
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