# COLON AND RECTAL SURGEONS OF GREATER HARTFORD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871556225
- **Authorized official:** TRACY NICHOLSON (BILLING MANAGAER)
- **Authorized official phone:** (860) 929-7974

## Contact information

- **Practice address:** 6 NORTHWESTERN DR, SUITE \# 305, BLOOMFIELD, CT 06002-3463
- **Practice address phone:** (860) 929-7965
- **Practice address fax:** (860) 242-2511
- **Mailing address:** 6 NORTHWESTERN DR, SUITE \# 305, BLOOMFIELD, CT 06002-3463
- **Mailing address phone:** (860) 929-7965
- **Mailing address fax:** (860) 242-2511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | CT | Yes |

## Other

- **Enumeration date:** 04/07/2006
- **Last updated:** 10/03/2024