Organization
STATE OF CONNECITUT HEALTH CENTER
Active
Parent organization
STATE OF CONNECITUT HEALTH CENTER
Other names
Neurosurgery
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, NEUROSURGERY ASSOCIATES, FARMINGTON, CT 06030-0001
(860) 679-4719
(860) 679-1419
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
207T00000X
Neurological Surgery Physician
Primary
—
CT
Other
Enumeration date
11/29/2007
Last updated
07/21/2022
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