Healthcare Provider Details

I. General information

NPI: 1144132754
Provider Name (Legal Business Name): ORTHOPEDIC ASSOCIATES OF HARTFORD,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1598 E MAIN ST STE 107
TORRINGTON CT
06790-3519
US

IV. Provider business mailing address

74 BATTERSON PARK RD STE 107
FARMINGTON CT
06032-2565
US

V. Phone/Fax

Practice location:
  • Phone: 860-549-8276
  • Fax: 860-244-1075
Mailing address:
  • Phone: 860-549-8276
  • Fax: 860-244-1075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: LISA M DEMING
Title or Position: CODING CREDENTIALING MANAGER
Credential:
Phone: 860-549-8276