Organization
STATE OF CONNECITUT HEALTH CENTER
Active
Parent organization
STATE OF CONNECTICUT HEALTH CENTER
Other names
Pulmonary Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF CONNECTICUT HEALTH CENTER
Authorized official
DENIS C LAFRENIERE MD (MEDICAL DIRECTOR)
(860) 679-7503
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, PULMONARY MEDICINE, FARMINGTON, CT 06030-0001
(860) 679-3343
(860) 679-4256
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
207RP1001X
Pulmonary Disease Physician
Primary
—
CT
Other
Enumeration date
11/29/2007
Last updated
07/21/2022
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