Prospect Ct Medical Foundation, Inc.
NPI #1144677568 in Manchester, Connecticut
Provider Information
- NPI Number
- 1144677568
- Entity Type
- Organization
- Organization Name
- Prospect Ct Medical Foundation, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 16, 2016
- Last Updated
- Mar 15, 2021
Practice Location
- Address
- 71 HAYNES ST
- Address 2
- MILLER BLDG., FLOOR G
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-4131
- Phone
- (860) 533-2981
Authorized Official
- Name
- ROBERT JON ELDERS
- Title
- SECRETARY
- Phone
- (714) 788-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Marriage & Family Therapist |
| Registered Nurse |
| Internal Medicine |
| Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism |
| Internal Medicine - Gastroenterology — Gastroenterology |
| Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology |
| Orthopaedic Surgery |
| Surgery |
| Surgery - Vascular Surgery — Vascular Surgery |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Hospitalist |
| Physician Assistant - Medical — Medical |
| Nurse Practitioner |
| Family Medicine |
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