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Contact Information

AMY S WASTERLAIN, MD
410 SAYBROOK RD STE 100
MIDDLETOWN, CT06457-4780
 Phone: 860-685-8940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for AMY S WASTERLAIN · (Female)

NPI # 1528402963
Status Active
Credentials MD
Entity Individual
Enumeration date 04/27/2013
Last updated 10/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 62336
Hospital affiliation(s)
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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