Organization
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VYE (VP ADMINISTRATION)
(860) 972-7858
Entity
Organization
Contact information
Practice address
85 SEYMOUR ST STE 415, HARTFORD, CT 06106-5523
(860) 246-2071
Mailing address
1290 SILAS DEANE HWY FL 2, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/16/2018
Last updated
05/10/2023
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