Organization
WEST HARTFORD INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VARALAKSHMI VENKATACHALAM M.D. (OWNER)
(860) 586-7825
Entity
Organization
Contact information
Practice address
1007 FARMINGTON AVE, S;UITE 9, WEST HARTFORD, CT 06107-2133
(860) 586-7825
(860) 586-7827
Mailing address
1007 FARMINGTON AVE, S;UITE 9, WEST HARTFORD, CT 06107-2133
(860) 586-7825
(860) 586-7827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041070
CT
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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