Healthcare Provider Details

I. General information

NPI: 1548591902
Provider Name (Legal Business Name): NEW ENGLAND ORTHOPAEDIC CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2010
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 LITCHFIELD ST SUITE #204
TORRINGTON CT
06790-6669
US

IV. Provider business mailing address

99 E RIVER DR 5TH FLOOR
EAST HARTFORD CT
06108-3288
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-6363
  • Fax: 877-504-3201
Mailing address:
  • Phone: 860-282-0833
  • Fax: 860-282-0834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number044065
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number044065
License Number StateDC

VIII. Authorized Official

Name: DR. MARIAM HAKIM-ZARGAR
Title or Position: PRESIDENT
Credential: MD
Phone: 860-282-0833