Provider Demographics
NPI:1629334933
Name:MIDDLESEX ORTHOPEDIC SURGEONS,P.C.
Entity Type:Organization
Organization Name:MIDDLESEX ORTHOPEDIC SURGEONS,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUZIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-685-8951
Mailing Address - Street 1:4 GROVE BEACH RD N
Mailing Address - Street 2:BUILDING 2 SUITE E&F
Mailing Address - City:WESTBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06498-1656
Mailing Address - Country:US
Mailing Address - Phone:860-685-8940
Mailing Address - Fax:
Practice Address - Street 1:4 GROVE BEACH RD N
Practice Address - Street 2:BUILDING 2 SUITE E&F
Practice Address - City:WESTBROOK
Practice Address - State:CT
Practice Address - Zip Code:06498-1656
Practice Address - Country:US
Practice Address - Phone:860-685-8940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDDLESEX ORTHOPEDIC SURGEONS,P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty