Organization Name: | WATERBURY ORTHOPAEDIC ASSOCIATES P C |
NPI Number: | 1982775276 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC JON OLSON (PRESIDENT) |
Mailing Address: | 1211 W Main St Waterbury |
State: | CT US |
Postal Code: | 067083106 |
Phone Number: | 2037550163 |
Fax Number: | 2035745894 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
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 |