Organization
CONNECTICUT GASTROENTEROLOGY ASSOC PC
Active
Organization
CONNECTICUT GASTROENTEROLOGY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNUNZIATA ZACCARIELLO (ASSISTANT MANAGER)
(860) 522-1171
Entity
Organization
Contact information
Practice address
18 HAYNES ST STE A, MANCHESTER, CT 06040-4111
(860) 533-0008
(860) 533-0019
Mailing address
1000 ASYLUM AVE STE 3212, HARTFORD, CT 06105-1702
(860) 522-1171
(860) 493-6524
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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