Organization
UCONN HEALTH COMMUNITY NETWORK MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GEOGHEGAN (EXECUTIVE DIRECTOR)
(860) 679-3162
Entity
Organization
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2613
(203) 573-7280
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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