Individual
HANISH FRANK RUBANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 WADSWORTH ST, HARTFORD, CT 06106-7108
(860) 527-1124
Mailing address
45 WADSWORTH ST, HARTFORD, CT 06106-7108
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CT
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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