STATE OF CONNECITUT HEALTH CENTER

FARMINGTON, CT
NPI1558543850
Other NamePEDIATRIC NEONATOLOGY
Entity TypeOrganization
Authorized ContactDENIS C LAFRENIERE
Medical Director
860-679-7503
Organization Subpart ?Yes
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
Enumeration Date2007-11-29
Last Update Date2022-07-21
Business Address
STATE OF CONNECITUT HEALTH CENTER
263 FARMINGTON AVE NEONATOLOGY ASSOCIATES
FARMINGTON, CT 06030-0001
Phone number: 860-679-3105
Mailing Address
STATE OF CONNECITUT HEALTH CENTER
263 FARMINGTON AVE PROVIDER ENROLLMENT - DOWLING SOUTH
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503