Organization
HARTFORD HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD BOISVERT (SENIOR VP, FINANCE OPERATIONS)
(860) 545-0585
Entity
Organization
Contact information
Practice address
79 RETREAT AVENUE, HARTFORD HOSPITAL DEPT OF DENTISTRY, HARTFORD, CT 06106
(860) 972-2700
Mailing address
79 RETREAT AVENUE, HARTFORD HOSPITAL DEPT OF DENTISTRY, HARTFORD, CT 06106
(860) 972-2700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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