Organization
THE ORTHOPAEDIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DECHELLO (PRACTICE ADMINISTRATOR)
(203) 865-6784
Entity
Organization
Contact information
Practice address
199 WHITNEY AVE, NEW HAVEN, CT 06511-3786
(203) 865-6784
(203) 865-6788
Mailing address
199 WHITNEY AVE, NEW HAVEN, CT 06511-3786
(203) 865-6784
(203) 865-6788
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004190287
—
CT
Enumeration date
05/23/2006
Last updated
10/14/2011
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