Organization
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIM GIOVE (ADMINISTRATIVE PROGRAM COORDINATOR)
(860) 679-3004
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1720
(860) 679-3004
Mailing address
837 VENETIAN BLVD, LINDENHURST, NY 11757-6327
(631) 902-2444
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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