STATE OF CONNECTICUT HEALTH CENTER

FARMINGTON, CT
NPI1104008408
Other NameENDOCRINOLOGY
Entity TypeOrganization
Authorized ContactDENIS C LAFRENIERE
Medical Director
860-679-7503
Organization Subpart ?Yes
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
Enumeration Date2007-11-29
Last Update Date2022-07-21
Business Address
STATE OF CONNECTICUT HEALTH CENTER
263 FARMINGTON AVE ENDROCRINOLOGY ASSOCIATES
FARMINGTON, CT 06030-0001
Phone number: 860-679-3242
Mailing Address
STATE OF CONNECTICUT HEALTH CENTER
263 FARMINGTON AVE PROVIDER ENROLLMENT - DOWLING SOUTH
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503