State of Connecticut Health Center
NPI #1912165945 in Farmington, Connecticut
Provider Information
- NPI Number
- 1912165945
- Entity Type
- Organization
- Organization Name
- State of Connecticut Health Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF CONNECTICUT HEALTH CENTER
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- May 27, 2008
- Last Updated
- Jun 15, 2012
Practice Location
- Address
- 263 FARMINGTON AVE
- Address 2
- RADIOLOGY HBP GROUP
- City
- Farmington
- State
- Connecticut
- ZIP Code
- 06030-0001
- Phone
- (860) 679-7503
Authorized Official
- Name
- DENIS C LAFRENIERE, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (860) 679-7503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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