Organization
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE SCHICK MBA (DIRECTOR OF GRADUATE MEDICAL EDUCAT)
(860) 679-2147
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-5215
(860) 679-3958
(860) 679-1307
Mailing address
357 BRITTANY FARMS RD APT H322, NEW BRITAIN, CT 06053-1102
(860) 679-8694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047478
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047478
LISENSURE
CT
01
—
150722
ABFM
CT
Enumeration date
07/16/2010
Last updated
07/16/2010
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