CT.GASTROENTEROLOGY ASSOC. PC NPI 1295976397

NPI Information

CT.GASTROENTEROLOGY ASSOC. PC is an occupational health registered nurse in Hartford, CT. CT.GASTROENTEROLOGY ASSOC. PC NPI is 1295976397. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 ASYLUM AVE
SUITE 3212
HARTFORD, CT
ZIP 06105-770
Phone: (860) 522-1171
Fax: (860) 493-6524

The provider's authorized official is John Polio .
The authorized official title is President and has the following contact phone number (860) 522-1171.

The CLIA number assigned to this NPI record is 07D0094132 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2009 and was last updated on 3/19/2009.

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:

Other Identifiers

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

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