Organization
CAPITAL AREA HEALTH CONSORTIUM
Active
Other names
Internal Medicine Residency Program
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIKI NISSEN (DESIGNATED INSTITUTION OFFICIAL)
(860) 679-2147
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2437
Mailing address
2 PARK PL, HARTFORD, CT 06106-5007
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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