Organization
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY UPSON-HINEY (UNIVERSITY DIRECTOR)
(860) 679-6216
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, ROOM# L6053, FARMINGTON, CT 06030-0001
(860) 679-8388
(860) 679-1370
Mailing address
263 FARMINGTON AVE, ROOM# L6053, FARMINGTON, CT 06030-0001
(860) 679-8388
(860) 679-1370
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
009971
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404-1968
—
CT
Enumeration date
01/14/2009
Last updated
01/14/2009
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