Organization
HARTFORD HEALTHCARE MEDICAL GROUP, INC.
Active
Organization
HARTFORD HEALTHCARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCCO ORLANDO III M.D. (MEDICAL DIRECTOR)
(860) 263-4155
Entity
Organization
Contact information
Practice address
399 FARMINGTON AVE, STE. 200, FARMINGTON, CT 06032-1936
(860) 246-2071
Mailing address
PO BOX 417695, BOSTON, MA 02241-7695
(860) 246-2071
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
12/18/2017
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