Seacoast Orthopedic Surgery & Sports Medicine Llc

LBN: Seacoast Orthopedic Surgery & Sports Medicine Llc
Seacoast Orthopedic Surgery & Sports Medicine Llc is an health care organization with primary practice located at 495 Route 184 Suite 300, Groton CT 06340. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Seacoast Orthopedic Surgery & Sports Medicine Llc can be contacted via phone (860) 449-1413, or through Carlow, Steven B via phone (860) 449-1413.

Contact Information

Primary practice address
495 Route 184 Suite 300 Groton CT 06340
Phone: (860) 449-1413
Fax: (860) 449-0390
Website:
Map and Directions
Authorized official contact:
Name: Carlow, Steven B Doctor of Medicine (MD)
Phone: (860) 449-1413

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1114979614
LBN Legal business name Seacoast Orthopedic Surgery & Sports Medicine Llc
DBA Doing business as
Authorized official Carlow, Steven B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jan 23rd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114979614 NPPES
Connecticut Other 047870 LICENSE NUMBER
Connecticut MEDICAID 001409756 LICENSE NUMBER
Connecticut MEDICAID 001272939 LICENSE NUMBER
Connecticut Other 040975 LICENSE NUMBER
Connecticut MEDICAID 001253582 LICENSE NUMBER
Connecticut MEDICAID 004237146 LICENSE NUMBER

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