State Of Connecticut University

NPI 1104809375 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1104809375
Enumeration Date 11/22/2005
Last Updated 09/02/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DENIS C DENIS
Position MEDICAL DIRECTOR
Phone (860) 679-7503
Fax (860) 679-1610
Practice Location
263 FARMINGTON AVE
UNIVERSITY PHYSICIANS
FARMINGTON CT, 06030-0001, US
Phone (860) 679-7503
Fax (860) 679-1610
Business Location
263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON CT, 06030-2212, US
Phone (860) 679-7503
Fax (860) 679-1610
Toxanomy
Taxonomy Code 332B00000X
License State Connecticut
License Number 032452
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According to our database, State Of Connecticut University NPI is 1104809375, taxonomy code is 332B00000X and license number is 032452, license state is located at Connecticut. State Of Connecticut University physically located at 263 Farmington Ave, Farmington CT, 06030-0001. NPI Number 1033115704 has the healthcare provider type.

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1104809375 NPI number is provided on an as is basis without warranty of any kind. 1104809375 is maintained by the National Plan & Provider Enumeration System. The contents of State Of Connecticut University are for informational purposes only.