Organization
UNIVERSITY OF CONNECTICUT/CAPITAL AREA HEALTH CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE TANNER (EXECUTIVE DIRECTOR)
(860) 676-1110
Entity
Organization
Contact information
Practice address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4212
Mailing address
270 FARMINGTON AVE, SUITE 352, FARMINGTON, CT 06032-1994
(860) 676-1110
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
06/15/2012
Last updated
09/09/2012
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