Organization Name:  NORWICH ORTHOPEDIC GROUP, PC


Practice Location:
11 INDUSTRIAL PARK RD  NIANTIC, CT 06357 US
Tel: 860-889-7345  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207XS0106X	Physicians Orthopaedic Surgery Hand Surgery
N	207XS0114X	Physicians Orthopaedic Surgery
N	207XS0117X	Physicians Orthopaedic Surgery
N	207XX0004X	Physicians Orthopaedic Surgery
N	207XX0005X	Physicians Orthopaedic Surgery
N	207XX0801X	Physicians Orthopaedic Surgery
N	208100000X	Physicians Physical Medicine & Rehabilitation
N	2081P2900X	Physicians Physical Medicine & Rehabilitation
N	2085R0202X	Physicians Radiology
N	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist
N	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist
N	332B00000X	Suppliers Durable Medical Equipment & Medical Supplies
Y	207X00000X	Physicians Orthopaedic Surgery

Other Provider Identifiers:

Issuer	Number	State	Type
	004002358	CT	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin