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Contact Information

SEACOAST ORTHOPEDIC SURGERY & SPORTS MEDICINE LLC
495 ROUTE 184
SUITE 300
GROTON, CT06340
 Phone: 860-449-1413
 Fax: 860-449-0390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SEACOAST ORTHOPEDIC SURGERY & SPORTS MEDICINE LLC

NPI Number 1114979614
LBN Legal business name SEACOAST ORTHOPEDIC SURGERY & SPORTS MEDICINE LLC
Authorized official STEVEN CARLOW - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2006
Last updated 01/23/2013 - About 13 years ago
Identifiers
CT Medicaid 001253582
CT Medicaid 001272939
CT Medicaid 001409756
CT Medicaid 004237146
CT Other 040975 LICENSE NUMBER
CT Other 047870 LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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