Provider Demographics
NPI:1295889970
Name:HARTFORD ORTHOPAEDIC PLASTIC & HAND SURGEONS, INC.
Entity type:Organization
Organization Name:HARTFORD ORTHOPAEDIC PLASTIC & HAND SURGEONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-781-6294
Mailing Address - Street 1:195 EASTERN BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-1208
Mailing Address - Country:US
Mailing Address - Phone:860-527-7161
Mailing Address - Fax:860-728-3227
Practice Address - Street 1:195 EASTERN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-1208
Practice Address - Country:US
Practice Address - Phone:860-527-7161
Practice Address - Fax:860-871-8327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1004951000332B00000X, 332B00000X
CT207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0535350001Medicare NSC
CTC08447018Medicare PIN