Organization
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Active
Other names
University Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS LAFRENIERE MD (MEDICAL DIRECTOR)
(860) 679-7503
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-7503
(860) 679-1610
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-8082
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
CT
207N00000X
Dermatology Physician
—
CT
207R00000X
Internal Medicine Physician
—
CT
207RH0003X
Hematology & Oncology Physician
—
CT
207RN0300X
Nephrology Physician
—
CT
207RP1001X
Pulmonary Disease Physician
—
CT
207X00000X
Orthopaedic Surgery Physician
—
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
CT
2084N0400X
Neurology Physician
—
CT
2085R0202X
Diagnostic Radiology Physician
—
CT
2086X0206X
Surgical Oncology Physician
—
CT
208D00000X
General Practice Physician
Primary
—
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
CT
363LA2200X
Adult Health Nurse Practitioner
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0502633008
CT MEDICAID ID FOR UMG
CT
Enumeration date
06/16/2005
Last updated
05/19/2025
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