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Organization
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Active
Organization
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIM GIOVE (ADMINISTRATIVE PROGRAM COORDINATOR)
(860) 679-3004
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1720
(860) 679-3004
Mailing address
837 VENETIAN BLVD, LINDENHURST, NY 11757-6327
(631) 902-2444
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
282N00000X
General Acute Care Hospital
—
NULL
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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