Organization
NEUROSURGEONS OF CENTRAL CONNECTICUT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A KVAM MD (PRESIDENT, NSCC)
(860) 282-4137
Entity
Organization
Contact information
Practice address
100 RETREAT AVE, #705, HARTFORD, CT 06106-2528
(860) 278-0070
(860) 522-6081
Mailing address
100 RETREAT AVE, #705, HARTFORD, CT 06106-2528
(860) 278-0070
(860) 522-6081
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004116233
—
CT
Enumeration date
08/21/2006
Last updated
12/18/2013
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