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HARTFORD CLINICAL ASSOCIATES PC NPI 1407136484


NPI Information

NPI: 1407136484
Provider Name: HARTFORD CLINICAL ASSOCIATES, PC

Doing Business As: HARTFORD SPECIALISTS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 07D0907483

Address:
100 HAZARD AVE
SUITE 206
ENFIELD, CT
ZIP 06082
Phone: (860) 947-8500
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HARTFORD CLINICAL ASSOCIATES, PC 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 CLINICAL ASSOCIATES, PC NPI is 1407136484. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hartford Specialists.

The provider's business location address is:

100 HAZARD AVE
SUITE 206
ENFIELD, CT
ZIP 06082-446
Phone: (860) 947-8500
Fax: (860) 524-8643

The provider's authorized official is John L Fundock .
The authorized official title is Vice President and has the following contact phone number (860) 545-7188.

The CLIA number assigned to this NPI record is 07D0907483 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/23/2011 and was last updated on 3/7/2012.


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
1208800000XUrologyNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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
1C00177MEDICARE 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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