Organization
HARTFORD HEALTHCARE MEDICAL GROUP, INC
Active
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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