Organization
UCONN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LANE M.D. (PROGRAM DIRECTOR)
(860) 679-4017
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, UCONN, FARMINGTON, CT 06030-0001
(860) 679-4017
Mailing address
44 CABOT ST APT 1, NEW BRITAIN, CT 06053-2984
(850) 491-4207
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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