NORWICH ORTHOPEDIC GROUP PC NPI 1619323706

NPI Information

NORWICH ORTHOPEDIC GROUP, PC is a non pharmacy dispensing site in Niantic, CT. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) NORWICH ORTHOPEDIC GROUP, PC NPI is 1619323706. The provider is registered as an organization entity type.
The provider Is Doing Business As Orthopedic Partners.

The provider's business location address is:

11 INDUSTRIAL PARK RD
NIANTIC, CT
ZIP 06357-904
Phone: (860) 889-7345
Fax: (860) 885-7229

The provider's authorized official is Mohammad Pasha .
The authorized official title is Assistant Treasurer and has the following contact phone number (860) 889-7345.

The CLIA number assigned to this NPI record is 07D2060761 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2016 and was last updated on 5/9/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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