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NPI Code Detail

MEDICARE: THE ORTHOPAEDIC GROUP, LLC

MEDICARE: THE ORTHOPAEDIC GROUP, LLC
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
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1851605034
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ORTHOPAEDIC GROUP, LLC
Provider Business Mailing Address
First Line : 199 WHITNEY AVE
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-3786
Country : US
Telephone Number : 203-865-6784
Fax Number :
Provider Business Practice Location Address
First Line : 469 W MAIN ST
Second Line :
City : BRANFORD
State : CT
Zip : 06405-3400
Country : US
Telephone Number : 203-865-6784
Fax Number :
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. ALAN MARK REZNIK
Credential : MD
Telephone Number : 203-865-6784
Provider Enumeration Date : 07/30/2010
Last Update Date : 10/19/2012

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Directions to “THE ORTHOPAEDIC GROUP, LLC ” Practice Location

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