Provider Demographics
NPI:1548225642
Name:NEW LONDON COUNTY ORTHOPEDIC SURGERY P C
Entity Type:Organization
Organization Name:NEW LONDON COUNTY ORTHOPEDIC SURGERY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMBRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-886-8345
Mailing Address - Street 1:28 1/2 CASE ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2215
Mailing Address - Country:US
Mailing Address - Phone:860-886-8345
Mailing Address - Fax:860-886-4251
Practice Address - Street 1:28 1/2 CASE ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2215
Practice Address - Country:US
Practice Address - Phone:860-886-8345
Practice Address - Fax:860-886-4251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010023709CT01OtherANTHEM BCBS
CTAETNA /UHCOther506137
CT001237098Medicaid
CT030918OtherHEALTHNET
CTNLP012OtherOXFORD HEALTH PLAN
CT010023709CT01OtherANTHEM BCBS
CTNLP012OtherOXFORD HEALTH PLAN