Organization
HARTFORD PHYSICIAN'S MANAGEMENT CORP.
Active
Other names
Hartford GYN Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LAZARUS JD (COO)
(856) 356-4000
Entity
Organization
Contact information
Practice address
1 MAIN ST, UNIT N1, HARTFORD, CT 06106-1806
(860) 525-1900
(860) 522-9913
Mailing address
601 CHAPEL AVE E, SUITE B, CHERRY HILL, NJ 08034-1407
(856) 356-4025
(856) 356-4038
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
0009
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004137552
—
CT
Enumeration date
05/18/2006
Last updated
06/16/2014
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