STATE OF CONNECITUT HEALTH CENTER

FARMINGTON, CT
NPI1649452947
Other NameGENETICS
Entity TypeOrganization
Authorized ContactDENIS C LAFRENIERE
Medical Director
860-679-7503
Organization Subpart ?Yes
Primary Taxonomy208000000X Pediatrics
Enumeration Date2007-11-29
Last Update Date2022-07-21
Business Address
STATE OF CONNECITUT HEALTH CENTER
263 FARMINGTON AVE HUMAN GENETICS ASSOCIATES
FARMINGTON, CT 06030-0001
Phone number: 860-679-7503
Mailing Address
STATE OF CONNECITUT HEALTH CENTER
263 FARMINGTON AVE PROVIDER ENROLLMENT - DOWLING SOUTH
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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