Organization
CONNECTICUT GASTROENTEROLOGY ASSOC PC
Active
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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