HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC NPI 1295367068

NPI Information

HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC is a customized equipment durable medical equipment medical supplies in Groton, CT. HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC NPI is 1295367068. The provider is registered as an organization entity type.

The provider's business location address is:

85 POHEGANUT DRIVE
SUITE 3
GROTON, CT
ZIP 06340-252
Phone: (860) 437-3737

The provider's authorized official is Mark Bancroft Vye .
The authorized official title is Vp Of Administration and has the following contact phone number (860) 972-7858.

The CLIA number assigned to this NPI record is 07D2299530 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2020 and was last updated on 2/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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