Organization
HARTFORD CLINICAL ASSOCIATES, P.C.
Active
Parent organization
HARTFORD CLINICAL ASSOCIATES, P.C.
Other names
HCA Specialty Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARTFORD CLINICAL ASSOCIATES, P.C.
Authorized official
JOHN L FUNDOCK (VICE PRESIDENT, OPERATIONS)
(860) 545-7188
Entity
Organization
Contact information
Practice address
85 SEYMOUR ST, SUITE #401, HARTFORD, CT 06106-5501
(860) 524-2787
(860) 524-2698
Mailing address
85 SEYMOUR ST, SUITE #401, HARTFORD, CT 06106-5501
(860) 524-2787
(860) 524-2698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CT
Enumeration date
07/18/2008
Last updated
07/22/2008
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