Organization
CONNECTICUT GASTROENTEROLOGY ASSOC PC
Active
Other names
Connecticut Gastroenterology Associates PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BUTENSKY M.D. (PRESIDENT)
(860) 522-1171
Entity
Organization
Contact information
Practice address
1000 ASYLUM AVE, SUITE 3212, HARTFORD, CT 06105
(860) 522-1171
(860) 493-6524
Mailing address
1000 ASYLUM AVE, SUITE 3212, HARTFORD, CT 06105-1770
(860) 522-1171
(860) 493-6524
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004065934
—
CT
01
—
C00203
MEDICARE GROUP NUMBER
CT
Enumeration date
03/07/2007
Last updated
06/18/2018
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