Organization
HARTFORD CLINICAL ASSOCIATES, PC
Active
Other names
Hartford Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L FUNDOCK (VICE PRESIDENT)
(860) 545-7188
Entity
Organization
Contact information
Practice address
85 SEYMOUR ST, SUITE 409, HARTFORD, CT 06106-5501
(860) 547-0616
(860) 524-2655
Mailing address
17 TALCOTT NOTCH RD, FARMINGTON, CT 06032-1818
(860) 524-2626
(860) 677-5029
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
—
CT
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
03/28/2013
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