Organization
HHC PHYSICIAN SERVICES, PLLC
Active
Parent organization
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC
Authorized official
DAVID B SIMON MD (MD. CEO)
(203) 488-7228
Entity
Organization
Contact information
Practice address
322 E MAIN ST STE 1B, BRANFORD, CT 06405-3136
(203) 488-7228
(203) 488-7227
Mailing address
PO BOX 830415, PHILADELPHIA, PA 19182-0521
(203) 488-7228
(203) 488-7227
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
12/08/2023
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