State Of Connecticut Health Center in Farmington - Diagnostic Radiology

State Of Connecticut Health Center - NPI 1912165945

State Of Connecticut Health Center is a Diagnostic Radiology in Farmington, Connecticut. State Of Connecticut Health Center practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for State Of Connecticut Health Center is 1912165945. The last update date is 2012-06-15.

State Of Connecticut Health Center's current location address is 263 Farmington Ave, Farmington, Connecticut. You can contact this provider via phone number 8606797503 and fax number 8606791610. The mailing address for State Of Connecticut Health Center is 263 Farmington Ave, Farmington, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Connecticut Health Center
Address 263 Farmington Ave, Farmington, Connecticut
Phone Number 8606797503
Fax Number 8606791610
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Lafreniere C Denis
Credentials MD
Telephone Number 8606797503

NPI Number Detail

NPI Number 1912165945
Provider Enumeration Date 2008-05-27
Last Updated Date 2012-06-15

Provider Mailing Address Detail

Address 263 Farmington Ave
City Farmington
State Connecticut (CT)
Post Code 60302212
Phone Number 8606797503
Fax Number 8606791610

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500HBX121CT01 CT ANTHEM BLUE CROSS

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FAQs about State Of Connecticut Health Center

What is the unique 10-digit identification code assigned to State Of Connecticut Health Center by the Centers for Medicare & Medicaid Services?

The State Of Connecticut Health Center has been issued the NPI (National Provider Identifier) 1912165945, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of State Of Connecticut Health Center?

The State Of Connecticut Health Center is situated at 263 Farmington Ave, in the city of Farmington, state of CT, with the zip code 60302212.

What is State Of Connecticut Health Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for State Of Connecticut Health Center is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.

On what date did the State Of Connecticut Health Center receive its 1912165945 assignment from the Centers for Medicare & Medicaid Services?

The State Of Connecticut Health Center was assigned its 1912165945 by the Centers for Medicare & Medicaid Services on 2008-05-27.

As of what date were the details pertaining to State Of Connecticut Health Center last refreshed?

The information related to the State Of Connecticut Health Center, including its address, specialty, and other relevant details, was last updated on 2012-06-15.

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