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Organization
GREATER HARTFORD LITHOTRIPSY, LLC
Active
Organization
GREATER HARTFORD LITHOTRIPSY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD STRACESKI (VICE PRESIDENT FOR FINANCIAL MANAGE)
(860) 714-4609
Entity
Organization
Contact information
Practice address
500 BLUE HILLS AVE, HARTFORD, CT 06112-1500
(860) 714-4000
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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