Organization
GASTROENTEROLOGY HEALTH ASSOCIATES
Active
Organization
GASTROENTEROLOGY HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC DALLAIRE (CREDENTIALING MANAGER)
(401) 323-8755
Entity
Organization
Contact information
Practice address
945 MAIN ST STE 202, MANCHESTER, CT 06040-6064
(860) 871-6710
Mailing address
773 MAIN ST, MANCHESTER, CT 06040-5102
(608) 716-7108
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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