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MIDDLESEX ORTHOPEDIC SURGEONS PROF CORP NPI 1073867818


NPI Information

NPI: 1073867818
Provider Name: MIDDLESEX ORTHOPEDIC SURGEONS PROF CORP
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 07D2288590

Address:
410 SAYBROOK RD
SUITE 100
MIDDLETOWN, CT
ZIP 06457
Phone: (860) 685-8940
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MIDDLESEX ORTHOPEDIC SURGEONS PROF CORP is a specialist in Middletown, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MIDDLESEX ORTHOPEDIC SURGEONS PROF CORP NPI is 1073867818. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 SAYBROOK RD
SUITE 100
MIDDLETOWN, CT
ZIP 06457-777
Phone: (860) 685-8940

The provider's authorized official is Sean J O'donnell .
The authorized official title is President and has the following contact phone number (860) 685-8940.

The CLIA number assigned to this NPI record is 07D2288590 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/1/2012 and was last updated on 11/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist034830CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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