| NPI | 1962783381 |
|---|---|
| Doing Business As | HARTFORD SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | JOHN L FUNDOCK Vice President 860-545-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2013-03-28 |