State of Connecitut Health Center

NPI #1730361031 in Farmington, Connecticut

Provider Information

NPI Number: 1730361031
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: Neurological Surgery
Enumeration Date: Nov 29, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 263 FARMINGTON AVE
Address 2: NEUROSURGERY ASSOCIATES
City: Farmington
State: Connecticut
ZIP Code: 06030-0001
Phone: (860) 679-4719

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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