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Contact Information

WATERBURY ORTHOPAEDIC ASSOCIATES P C
1211 W MAIN ST
WATERBURY, CT06708-3106
 Phone: 203-755-0163
 Fax: 203-574-5894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Independent Medical Examiner

202C00000X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for WATERBURY ORTHOPAEDIC ASSOCIATES P C

NPI # 1982775276
LBN Legal business name WATERBURY ORTHOPAEDIC ASSOCIATES P C
Authorized official ERIC OLSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2006
Last updated 08/02/2012 - About 14 years ago
Identifiers
CT Medicaid 004394110
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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