CONNECTICUT SPINE AND DISC NPI 1376742031

NPI Information

  • NPI: 1376742031
  • Provider Name: CONNECTICUT SPINE AND DISC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Address: 1579 STRAITS TPKE
    MIDDLEBURY, CT
    ZIP 06762
  • Phone: (203) 758-2003

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NPI Details

CONNECTICUT SPINE AND DISC is an orthopaedic surgery of the spine orthopaedic surgery in Middlebury, CT. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. CONNECTICUT SPINE AND DISC NPI is 1376742031. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1579 STRAITS TPKE
MIDDLEBURY, CT
ZIP 06762-835
Phone: (203) 758-2003

The provider's authorized official is Charles E Raftery .
The authorized official title is Owner and has the following contact phone number (203) 758-2003.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 6/20/2008.

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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine041372CONNECTICUTYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H03051MEDICARE UPINCONNECTICUT
2200001096MEDICARE PINCONNECTICUT

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: 11/21/2025

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