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STATE OF CONNECTICUT HEALTH CENTER NPI 1811155849


NPI Information

NPI: 1811155849
Provider Name: STATE OF CONNECTICUT HEALTH CENTER

Other Name: OB/GYN HBP GROUP

Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

Address:
263 FARMINGTON AVE
OB/GYN HBP GROUP
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-7503
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STATE OF CONNECTICUT HEALTH CENTER is a maternal and fetal medicine obstetrics gynecology in Farmington, CT. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. STATE OF CONNECTICUT HEALTH CENTER NPI is 1811155849. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ob/gyn Hbp Group.

The provider's business location address is:

263 FARMINGTON AVE
OB/GYN HBP GROUP
FARMINGTON, CT
ZIP 06030-001
Phone: (860) 679-7503
Fax: (860) 679-1610

The provider's authorized official is Denis C Lafreniere .
The authorized official title is Medical Director and has the following contact phone number (860) 679-7503.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 6/15/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500HBX134CT02OTHERCONNECTICUTANTHEM BLUE CROSS
2500HBX134CT03OTHERCONNECTICUTANTHEM BLUE CROSS
3500HBX134CT01OTHERCONNECTICUTANTHEM BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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