Greater Hartford Lithotripsy, LLC

NPI #1598989006 in Hartford, Connecticut

Provider Information

NPI Number: 1598989006
Entity Type: Organization
Organization Name: Greater Hartford Lithotripsy, LLC
Primary Specialty: Urology
Enumeration Date: Apr 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 500 BLUE HILLS AVE
City: Hartford
State: Connecticut
ZIP Code: 06112-1500
Phone: (860) 714-4000

Authorized Official

Name: MR. DONALD STRACESKI
Title: VICE PRESIDENT FOR FINANCIAL MANAGE
Phone: (860) 714-4609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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