PROSPECT CT MEDICAL FOUNDATION, INC.

MANCHESTER, CT
NPI1144677568
Other NameMEDICAL GROUP
Entity TypeOrganization
Authorized ContactROBERT JON ELDERS
Secretary
714-788-1249
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies1041C0700X Social Worker, Clinical
106H00000X Marriage & Family Therapist
163W00000X Registered Nurse
207R00000X Internal Medicine
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RG0100X Internal Medicine, Gastroenterology
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology
207X00000X Orthopaedic Surgery
208600000X Surgery
2086S0129X Surgery, Vascular Surgery
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
208M00000X Hospitalist
363AM0700X Physician Assistant, Medical
363L00000X Nurse Practitioner
Enumeration Date2016-05-16
Last Update Date2021-03-15
Business Address
PROSPECT CT MEDICAL FOUNDATION, INC.
71 HAYNES ST MILLER BLDG., FLOOR G
MANCHESTER, CT 06040-4131
Phone number: 860-533-2981
Mailing Address
PROSPECT CT MEDICAL FOUNDATION, INC.
71 HAYNES ST MILLER BLDG., FLOOR G
MANCHESTER, CT 06040-4131
Phone number: 860-533-2981