Individual
CORNELL CONCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4000
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6654
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1.063006
CT
Other
Enumeration date
04/29/2015
Last updated
09/17/2020
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