MEDICARE: HARTFORD ORTHOPAEDIC PLASTIC & HAND SURGEONS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1740931823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARTFORD ORTHOPAEDIC PLASTIC & HAND SURGEONS, INC

Provider Business Mailing Address
First Line	:	622 HEBRON AVE STE 205
Second Line	:
City	:	GLASTONBURY
State	:	CT
Zip	:	06033-2421
Country	:	US
Telephone Number	:	860-527-7161
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 COTTAGE GROVE RD LOWR LEVEL
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3165
Country	:	US
Telephone Number	:	860-527-7161
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	RACHEL PERRY
Credential	:
Telephone Number	:	860-781-6283

Provider Enumeration Date	:	01/11/2022
Last Update Date	:	06/09/2025

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