Organization
COLON AND RECTAL SURGEONS OF GREATER HARTFORD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY NICHOLSON (BILLING MANAGAER)
(860) 929-7974
Entity
Organization
Contact information
Practice address
6 NORTHWESTERN DR, SUITE # 305, BLOOMFIELD, CT 06002-3463
(860) 929-7965
(860) 242-2511
Mailing address
6 NORTHWESTERN DR, SUITE # 305, BLOOMFIELD, CT 06002-3463
(860) 929-7965
(860) 242-2511
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
CT
Other
Enumeration date
04/07/2006
Last updated
10/03/2024
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