State of Connecitut Health Center
NPI #1568644862 in Farmington, Connecticut
Provider Information
- NPI Number
- 1568644862
- 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 - Nephrology
- Enumeration Date
- Nov 29, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 263 FARMINGTON AVE
- Address 2
- NEPHROLOGY ASSOCIATES
- City
- Farmington
- State
- Connecticut
- ZIP Code
- 06030-0001
- Phone
- (860) 679-2160
Authorized Official
- Name
- DENIS C LAFRENIERE, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (860) 679-7503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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