State of Connecitut Health Center

NPI #1013199314 in Farmington, Connecticut

Provider Information

NPI Number
1013199314
Entity Type
Organization
Organization Name
State of Connecitut Health Center
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF CONNECITUT HEALTH CENTER
Primary Specialty
Internal Medicine - Infectious Disease
Enumeration Date
Nov 29, 2007
Last Updated
Jul 21, 2022

Practice Location

Address
263 FARMINGTON AVE
Address 2
INFECTIOUS DISEASES ASSOCIATES
ZIP Code
06030-0001
Phone
(860) 679-4225

Authorized Official

Name
DENIS C LAFRENIERE, MD
Title
MEDICAL DIRECTOR
Phone
(860) 679-7503

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Infectious DiseaseInfectious Disease

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