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Organization

ORTHOPEDIC ASSOCIATES OF HARTFORD,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID J MUDANO (CHIEF FINANCIAL OFFICER)
(860) 549-8276
Entity
Organization

Contact information

Practice address
40 HART ST, NEW BRITAIN, CT 06052-1743
(860) 223-8553
(860) 223-7273
Mailing address
270 FARMINGTON AVE, SUITE 102, FARMINGTON, CT 06032-1909
(860) 549-8276
(860) 674-8084

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
030915
CT
207X00000X
Orthopaedic Surgery Physician
Primary
19436
CT
363AS0400X
Surgical Physician Assistant
001539
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C00413
GROUP NUMBER
CT
Enumeration date
03/28/2007
Last updated
06/25/2012
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