Organization
HARTFORD HEALTHCARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCCO ORLANDO III M.D. (MEDICAL DIRECTOR)
(860) 263-4155
Entity
Organization
Contact information
Practice address
29 HAYNES ST, MANCHESTER, CT 06040-4139
(860) 547-0616
Mailing address
PO BOX 417695, BOSTON, MA 02241-7695
(860) 547-0616
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
12/18/2017
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