Organization
STATE OF CONNECITUT HEALTH CENTER
Active
Parent organization
STATE OF CONNECITUT HEALTH CENTER
Other names
Genetics
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF CONNECITUT HEALTH CENTER
Authorized official
DENIS C LAFRENIERE MD (MEDICAL DIRECTOR)
(860) 679-7503
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, HUMAN GENETICS ASSOCIATES, FARMINGTON, CT 06030-0001
(860) 679-7503
(860) 679-1610
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT - DOWLING SOUTH, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CT
Other
Enumeration date
11/29/2007
Last updated
07/21/2022
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