Organization
CONNECTICUT HEALTH CARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LAHOUSE (OFFICE MANAGER)
(860) 657-0764
Entity
Organization
Contact information
Practice address
300 HEBRON AVE, SUITE 113, GLASTONBURY, CT 06033-2176
(860) 657-0764
Mailing address
300 HEBRON AVE, SUITE 113, GLASTONBURY, CT 06033-2176
(860) 657-0764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031112
CT
Other
Enumeration date
06/11/2006
Last updated
03/25/2014
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