STATE OF CONNECTICUT HEALTH CENTER

FARMINGTON, CT
NPI1669656575
Other NamePEDIATRIC HEMATOLOGY/ONCOLOGY
Entity TypeOrganization
Authorized ContactDENIS C LAFRENIERE
Medical Director
860-679-7503
Organization Subpart ?Yes
Primary Taxonomy2080P0207X Pediatrics, Pediatric Hematology-Oncology
Enumeration Date2007-12-27
Last Update Date2022-07-21
Business Address
STATE OF CONNECTICUT HEALTH CENTER
263 FARMINGTON AVE PEDIATRIC HEMATOLOGY/ONCOLOTY
FARMINGTON, CT 06030-0001
Phone number: 860-679-2100
Mailing Address
STATE OF CONNECTICUT HEALTH CENTER
263 FARMINGTON AVE PROVIDER ENROLLMENT - PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503