Organization
HARTFORD CLINICAL ASSOCIATES, PC
Active
Other names
Hartford Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L FUNDOCK (VICE PRESIDENT)
(860) 545-7188
Entity
Organization
Contact information
Practice address
455 LEWIS AVE, SUITE 210, MERIDEN, CT 06451-2121
(203) 238-1241
(203) 686-0791
Mailing address
17 TALCOTT NOTCH RD, FARMINGTON, CT 06032-1818
(860) 524-2626
(860) 677-5029
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/23/2011
Last updated
01/03/2012
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