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NPI 1174061519

NPI 1174061519 : ORTHOCONNECTICUT, PC : DANBURY, CT

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General NPI Number Information
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    NPI Number           |    1174061519
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORTHOCONNECTICUT, PC 
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Dates
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    Enumeration Date     |    02/06/2017
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    Last Update Date     |    03/11/2022
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Provider Practice Location Address
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    Address Line         |    2 RIVERVIEW DRIVE 
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    City                 |    DANBURY
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    State                |    CT
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    Zip                  |    06810-6268
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    Country              |    US
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    Telephone            |    203-797-1500
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    Fax                  |    203-791-0495
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Provider Business Mailing Address
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    Address Line         |    2 RIVERVIEW DRIVE 
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    City                 |    DANBURY
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    State                |    CT
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    Zip                  |    06810-6268
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    Country              |    US
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    Telephone            |    203-797-1500
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    Fax                  |    203-791-0495
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Authorized Official
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    Title or Position    |    MD
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    Name                 |     GIUSEPPE  DIGIOVANNI 
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    Credential           |    MD
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    Telephone            |    203-797-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207XS0114X
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    Taxonomy Name        |    Adult Reconstructive Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    
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    License Number State |    CT
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Taxonomy #3
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    
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    License Number State |    CT
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Taxonomy #4
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    Taxonomy Code        |    207XX0004X
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    Taxonomy Name        |    Orthopaedic Foot and Ankle Surgery Physician
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    License Number       |    
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    License Number State |    CT
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Taxonomy #5
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    
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    License Number State |    CT
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Taxonomy #6
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    Taxonomy Code        |    207XX0801X
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    Taxonomy Name        |    Orthopaedic Trauma Physician
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    License Number       |    
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    License Number State |    CT
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Taxonomy #7
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    Taxonomy Code        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    
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    License Number State |    CT
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Taxonomy #8
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    CT
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Taxonomy #9
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    Taxonomy Code        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    
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    License Number State |    CT
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Taxonomy #10
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    CT
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