NPI | 1164404117 |
---|---|
Doing Business As | HARTFORD MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KENT I STAHL Md/Medical Director 860-571-7253 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CT 046916) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 025147) | |
207X00000X Orthopaedic Surgery (Licence: CT 48268) | |
207P00000X Emergency Medicine | |
207Q00000X Family Medicine | |
207QG0300X Family Medicine, Geriatric Medicine | |
207RG0100X Internal Medicine, Gastroenterology | |
207RG0300X Internal Medicine, Geriatric Medicine | |
208000000X Pediatrics | |
2083X0100X Preventive Medicine, Occupational Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2005-11-16 |
Last Update Date | 2009-11-20 |