Organization
ORTHOPEDIC ASSOCIATES OF HARTFORD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M DEMING (CREDENTIALING CODING MANAGER)
(860) 549-8276
Entity
Organization
Contact information
Practice address
31 SEYMOUR STREET, SUITE 100, HARTFORD, CT 06106-5501
(860) 549-3210
(860) 247-3803
Mailing address
31 SEYMOUR STREET, SUITE 100, HARTFORD, CT 06106-5501
(860) 549-3210
(860) 247-3803
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004002366
—
CT
Enumeration date
06/30/2005
Last updated
10/15/2018
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