| State Of Connecitut Health Center | |
|
263 Farmington Ave Infectious Diseases Associates Farmington CT 06030-0001 | |
| (860) 679-4225 | |
| (860) 679-1217 |
| Full Name | State Of Connecitut Health Center |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Authorized Official Name and Position | Denis C Lafreniere (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8606797503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Connecitut Health Center 263 Farmington Ave Provider Enrollment - Dowling South Farmington CT 06030-2212 Ph: (860) 679-7503 | State Of Connecitut Health Center 263 Farmington Ave Infectious Diseases Associates Farmington CT 06030-0001 Ph: (860) 679-4225 |
| NPI Number | 1013199314 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013199314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Connecticut) | Primary |
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Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Gastroenterology Associates, Farmington, CT 06030 Phone: 860-679-7503 Fax: 860-679-1610 | |
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