State of Connecticut
NPI #1972857282 in Farmington, Connecticut
Provider Information
- NPI Number
- 1972857282
- Entity Type
- Organization
- Organization Name
- State of Connecticut
- Primary Specialty
- General Acute Care Hospital
- Enumeration Date
- Nov 8, 2012
- Last Updated
- Nov 8, 2012
Practice Location
- Address
- 263 FARMINGTON AVE
- City
- Farmington
- State
- Connecticut
- ZIP Code
- 06030-5355
- Phone
- (860) 679-2916
Authorized Official
- Name
- MR. JOHN BIANCAMANO
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (860) 679-1145
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
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