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DRS HEALY MACINSKI RAO WADE & GORDON PC NPI 1033399035


NPI Information

NPI: 1033399035
Provider Name: DRS HEALY, MACINSKI, RAO, WADE & GORDON PC

Former Legal Business Name: HEALY, MACINSKI, RAO, & WADE MDS, PC

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1000 ASYLUM AVE
SUITE 4301
HARTFORD, CT
ZIP 06105
Phone: (860) 522-3711
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DRS HEALY, MACINSKI, RAO, WADE & GORDON PC is a neurology psychiatry neurology in Hartford, CT. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DRS HEALY, MACINSKI, RAO, WADE & GORDON PC NPI is 1033399035. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Healy, Macinski, Rao, & Wade Mds, Pc.

The provider's business location address is:

1000 ASYLUM AVE
SUITE 4301
HARTFORD, CT
ZIP 06105
Phone: (860) 522-3711
Fax: (860) 493-7445

The provider's authorized official is Zachary Macinski .
The authorized official title is Supervisor and has the following contact phone number (860) 522-3711.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 12/2/2013.


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
12084N0400XPsychiatry & NeurologyNeurology008549CONNECTICUTYes

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
1C00156MEDICARE PINCONNECTICUT

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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