Organization
STATE OF CONNECTICUT OFFICE OF THE COMPTROLLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY JOVANELLY (DIRECTOR)
(860) 713-5399
Entity
Organization
Contact information
Practice address
165 CAPITOL AVE, 5TH FLOOR NORTH, HARTFORD, CT 06106-1659
(860) 713-5399
Mailing address
165 CAPITOL AVE, 5TH FLOOR NORTH, HARTFORD, CT 06106-1659
(860) 713-5399
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203000001
—
CT
Enumeration date
09/25/2006
Last updated
06/27/2008
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