Provider Demographics
NPI:1932438553
Name:MIDDLESEX CENTER FOR ADVANCED ORTHOPEDIC SURGERY
Entity Type:Organization
Organization Name:MIDDLESEX CENTER FOR ADVANCED ORTHOPEDIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BENEDICT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-343-0402
Mailing Address - Street 1:510 SAYBROOK ROAD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4711
Mailing Address - Country:US
Mailing Address - Phone:860-346-2267
Mailing Address - Fax:860-343-0403
Practice Address - Street 1:510 SAYBROOK ROAD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4711
Practice Address - Country:US
Practice Address - Phone:860-346-2267
Practice Address - Fax:860-343-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical