Ct Childrens Medical Center/betances

NPI 1093930539 - Clinic/Center - 261QP2300X

NPI Details
NPI 1093930539
Enumeration Date 04/17/2007
Last Updated 07/31/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHLEEN LAURIE KATHLEEN
Position PEDIATRIC PA
Phone (860) 525-4640
Fax (860) 525-4650
Practice Location
42 CHARTER OAK AVE
HARTFORD CT, 06106-1909, US
Phone (860) 525-4640
Fax (860) 525-4650
Business Location
42 CHARTER OAK AVE
HARTFORD CT, 06106-1909, US
Phone (860) 525-4640
Fax (860) 525-4650
Toxanomy
Taxonomy Code 261QP2300X
License State Connecticut
License Number 000238
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According to our database, Ct Childrens Medical Center/betances NPI is 1093930539, taxonomy code is 261QP2300X and license number is 000238, license state is located at Connecticut. Ct Childrens Medical Center/betances physically located at 42 Charter Oak Ave, Hartford CT, 06106-1909. NPI Number 1033115704 has the healthcare provider type.

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1093930539 NPI number is provided on an as is basis without warranty of any kind. 1093930539 is maintained by the National Plan & Provider Enumeration System. The contents of Ct Childrens Medical Center/betances are for informational purposes only.