Organization
GREATER HARTFORD LITHOTRIPSY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD STRACESKI (VICE PRESIDENT FOR FINANCIAL MANAGE)
(860) 714-4609
Entity
Organization
Contact information
Practice address
500 BLUE HILLS AVE, HARTFORD, CT 06112-1500
(860) 714-4000
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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