# CLINISANITAS

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

## Provider details

- **NPI number:** 1972084861
- **Authorized official:** LAUREN E MURILLO (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (786) 408-8502

## Contact information

- **Practice address:** 175 MAIN ST, HARTFORD, CT 06106-1818
- **Practice address phone:** (844) 307-4827
- **Mailing address:** 175 MAIN ST, HARTFORD, CT 06106-1818
- **Mailing address phone:** (844) 307-4827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2018
- **Last updated:** 08/28/2018