Organization
CONNECTICUT CENTER FOR ORTHOPEDIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T MAZZARA MD (PRESIDENT)
(860) 649-0047
Entity
Organization
Contact information
Practice address
29 HAYNES ST, MANCHESTER, CT 06040-4139
(860) 649-0047
(860) 288-2107
Mailing address
29 HAYNES ST, MANCHESTER, CT 06040-4139
(860) 649-0047
(860) 288-2107
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
05/21/2008
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