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Organization
CAPITAL AREA HEALTH CONSORTIUM
Active
Organization
CAPITAL AREA HEALTH CONSORTIUM
Active
Other names
Internal Medicine Residency Program
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIKI NISSEN (DESIGNATED INSTITUTION OFFICIAL)
(860) 679-2147
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2437
Mailing address
2 PARK PL, HARTFORD, CT 06106-5007
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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