Healthcare Provider Details

I. General information

NPI: 1669763819
Provider Name (Legal Business Name): NEW ENGLAND ORTHOPAEDIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2011
Last Update Date: 04/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 LITCHFIELD STREET 204
TORRINGTON CT
06790
US

IV. Provider business mailing address

99 EAST RIVER DRIVE 5TH FLOOR
EAST HARTFORDF CT
06108-7301
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-6363
  • Fax:
Mailing address:
  • Phone: 860-282-4022
  • Fax: 860-289-0742

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: MARIAM HAKIM-ZARGAR
Title or Position: MD
Credential:
Phone: 860-282-4022