Healthcare Provider Details

I. General information

NPI: 1366468837
Provider Name (Legal Business Name): ORTHOPAEDIC SPECIALISTS OF CONNECTICUT, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 12/09/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 OLD NEW MILFORD RD SUITE 3E
BROOKFIELD CT
06804-2430
US

IV. Provider business mailing address

60 OLD NEW MILFORD RD SUITE 3E
BROOKFIELD CT
06804-2430
US

V. Phone/Fax

Practice location:
  • Phone: 203-775-6205
  • Fax: 203-775-2373
Mailing address:
  • Phone: 203-775-6205
  • Fax: 203-775-2373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTONIO PAZ
Title or Position: PHYSICIAN
Credential: MD
Phone: 203-775-6205