| Organization Name: | ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC |
| NPI Number: | 1346511037 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY F REARDON (PHYSICIAN/SURGEON) |
| Mailing Address: | 5 Pequot Park Rd Suite 202 Westbrook |
| State: | CT US |
| Postal Code: | 064982856 |
| Phone Number: | 8603990245 |
| Fax Number: | 8608941892 |
| NPI Enumeration Date: | 01/26/2012 |
| NPI Last Update Date: | 02/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |