HARTFORD HEALTHCARE MEDICAL GROUP INC NPI 1164768255

NPI Information

HARTFORD HEALTHCARE MEDICAL GROUP, INC is a durable medical equipment medical supplies in Enfield, CT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. HARTFORD HEALTHCARE MEDICAL GROUP, INC NPI is 1164768255. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 HAZARD AVE
STE. 206
ENFIELD, CT
ZIP 06082-446
Phone: (860) 749-6252

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

The CLIA number assigned to this NPI record is 07D2148861 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 7/17/2019.

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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