Waterbury Orthopaedic Associates P C in Waterbury - Physician Assistant
Waterbury Orthopaedic Associates P C - NPI 1982775276
Waterbury Orthopaedic Associates P C is a Physician Assistant in Waterbury, Connecticut. Waterbury Orthopaedic Associates P C practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Waterbury Orthopaedic Associates P C is 1982775276. The last update date is 2012-08-02.
Waterbury Orthopaedic Associates P C's current location address is 1211 W Main St, Waterbury, Connecticut. You can contact this provider via phone number 2037550163 and fax number 2035745894. The mailing address for Waterbury Orthopaedic Associates P C is 1211 W Main St, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Waterbury Orthopaedic Associates P C |
|---|---|
| Address | 1211 W Main St, Waterbury, Connecticut |
| Phone Number | 2037550163 |
| Fax Number | 2035745894 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Olson Jon Eric |
| Credentials | M.D. |
| Telephone Number | 2037550163 |
NPI Number Detail
| NPI Number | 1982775276 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2012-08-02 |
Provider Mailing Address Detail
| Address | 1211 W Main St |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67083106 |
| Phone Number | 2037550163 |
| Fax Number | 2035745894 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4394110 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Waterbury Orthopaedic Associates P C by the Centers for Medicare & Medicaid Services?
The Waterbury Orthopaedic Associates P C has been issued the NPI (National Provider Identifier) 1982775276 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Waterbury Orthopaedic Associates P C?
The Waterbury Orthopaedic Associates P C is physically situated at 1211 W Main St, in the city of Waterbury, state of CT, with the postal code 67083106.
What is Waterbury Orthopaedic Associates P C's specialized field of practice, and what is the corresponding taxonomy classification code?
The Waterbury Orthopaedic Associates P C's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1982775276 assigned to Waterbury Orthopaedic Associates P C?
The Waterbury Orthopaedic Associates P C was issued its 1982775276 on 2006-11-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Waterbury Orthopaedic Associates P C's information last updated?
The Waterbury Orthopaedic Associates P C's information was last updated on 2012-08-02.