Organization
GREATER HARTFORD NEPHROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIKKI FORAN BS (PRACTICE MANAGER)
(860) 769-9866
Entity
Organization
Contact information
Practice address
701 COTTAGE GROVE RD, SUITE B-220, BLOOMFIELD, CT 06002-3080
(860) 769-9866
(860) 769-7300
Mailing address
701 COTTAGE GROVE RD, SUITE B-220, BLOOMFIELD, CT 06002-3080
(860) 769-9866
(860) 769-7300
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4245959
—
CT
Enumeration date
06/30/2005
Last updated
11/20/2012
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