Orthopedic Associates of Middletown, PC
Organization Active NPI Orthopaedic Surgery Physician · Westbrook, CT
NPI 1346511037 · NPPES record last updated Feb 24, 2012
Key facts
- NPI
- 1346511037
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC
- Practice address
- 5 Pequot Park Rd
Suite 202
Westbrook, CT 06498-2856 - Phone
- (860) 399-0245
- Fax
- (860) 894-1892
- NPI assigned
- Jan 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Terry F Reardon, MD
- Title
- Physician/Surgeon
- Phone
- (860) 347-7636
National Provider Directory
Locations
5 Pequot Park Rd
Ste 202
Westbrook, CT 06498
Phone (860) 399-0245
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
5 Pequot Park Rd
Suite 202
Westbrook, CT 06498-2856
Mailing address
512 Saybrook Rd
Suite 100
Middletown, CT 06457-4788
Phone (860) 347-7636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004186260 | Medicaid | CT |
Other providers in Westbrook, CT
- Lauren Hart Nichols
- Andrea Marie Niziolek
- Jeong Eun Oh
- Orthopaedic & Neurosurgery Specialists, PLLC
- Orthopaedic & Neurosurgery Specialists, PLLC
- Melissa Ortiz-Sinclair
- Jodi Marak Ouellette
- Timothy Ouellette
- Jason M Palana
- Rinkesh A Patel
All providers in Westbrook, CT · Orthopaedic Surgery Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.