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Organization
CT.GASTROENTEROLOGY ASSOC. PC
Active
Organization
CT.GASTROENTEROLOGY ASSOC. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN POLIO M.D. (PRESIDENT)
(860) 522-1171
Entity
Organization
Contact information
Practice address
1000 ASYLUM AVE, SUITE 3212, HARTFORD, CT 06105-1770
(860) 522-1171
(860) 493-6524
Mailing address
1000 ASYLUM AVE, SUITE 3212, HARTFORD, CT 06105-1770
(860) 522-1171
(860) 493-6524
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
001824
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004221941
—
CT
Enumeration date
03/19/2009
Last updated
03/19/2009
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