State of Connecticut Health Center
NPI #1710156849 in Storrs Mansfield, Connecticut
Provider Information
- NPI Number
- 1710156849
- Entity Type
- Organization
- Organization Name
- State of Connecticut Health Center
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 22, 2008
- Last Updated
- Nov 20, 2013
Practice Location
- Address
- 850 BOLTON RD
- Address 2
- U-85
- City
- Storrs Mansfield
- State
- Connecticut
- ZIP Code
- 06269-9020
- Phone
- (860) 486-2629
Authorized Official
- Name
- DENIS C LAFRENIERE, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (860) 679-7503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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