Provider Demographics
NPI:1235642158
Name:CONNECTICUT HAND AND ORTHOPEDICS PLLC
Entity Type:Organization
Organization Name:CONNECTICUT HAND AND ORTHOPEDICS PLLC
Other - Org Name:CONNECTICUT HAND AND ORTHOPEDICS PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-247-3279
Mailing Address - Street 1:1000 ASYLUM AVE STE 3220
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1702
Mailing Address - Country:US
Mailing Address - Phone:860-247-3279
Mailing Address - Fax:860-727-9540
Practice Address - Street 1:1000 ASYLUM AVE STE 3220
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1702
Practice Address - Country:US
Practice Address - Phone:860-247-3279
Practice Address - Fax:860-727-9540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT33811207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001338111Medicaid