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CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC

Physicians Orthopaedic Surgery Sports Medicine

Provider NPI: 1932324993

Organization Information:
Organization Name:  CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC
Organization is Subpart
Authorized Official:  GLENN  ELIA  CEO  203-407-3576

Practice Location:
84 N MAIN ST BLDG 2  BRANFORD, CT 06405-3061 US
Tel: 203-483-2518  Fax: 203-483-2522

Business Mailing Address:
2408 WHITNEY AVE  HAMDEN, CT 06518-3209 US
Tel: 203-407-3500  Fax: 203-281-1164

NPI Information:
NPI: 1932324993
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207XX0005XPhysicians
Orthopaedic Surgery
Sports Medicine
N2081P2900XPhysicians
Physical Medicine & Rehabilitation
N213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
N213E00000XPodiatric Medicine & Surgery Service Providers
Podiatrist
N261QM1300XAmbulatory Health Care Facilities
Clinic/Center
N207XS0114XPhysicians
Orthopaedic Surgery
N207QS0010XPhysicians
Family Medicine
N207X00000XPhysicians
Orthopaedic Surgery
N207XS0106XPhysicians
Orthopaedic Surgery
N207XX0004XPhysicians
Orthopaedic Surgery
Y261QM1200XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM BCBS15MRI0170CT0201



American Medical Association 2012 taxonomy code information

Code: 261QM1200X

Type:

Classification:



Definition:



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