MEDICARE: FARMINGTON VALLEY ORTHOPEDIC ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1790914075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMINGTON VALLEY ORTHOPEDIC ASSOCIATES PC

Provider Business Mailing Address
First Line	:	34 DALE RD
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-3659
Country	:	US
Telephone Number	:	860-677-0079
Fax Number	:	860-677-4785

Provider Business Practice Location Address
First Line	:	18 E GRANBY RD
Second Line	:
City	:	GRANBY
State	:	CT
Zip	:	06035-2201
Country	:	US
Telephone Number	:	860-677-0079
Fax Number	:	860-677-4785

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN BOND
Credential	:	MD
Telephone Number	:	860-677-0079

Provider Enumeration Date	:	07/08/2009
Last Update Date	:	07/08/2009

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