Organization · NPI-2

Hartford Clinical Associates, PC

Durable Medical Equipment & Medical Supplies · Farmington, CT

NPI number1346520228
StatusActive
Last updated in NPPESJan 3, 2012

Details

NPI
1346520228
Entity type
Organization (NPI-2)
Legal business name
Hartford Clinical Associates, PC
Organization subpart
No
Enumeration date
Aug 23, 2011
Last updated
Jan 3, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
208800000X Urology––
213E00000X Podiatrist––
213ES0103X Podiatrist, Foot & Ankle Surgery––

Other names

  • Hartford Specialists (Doing Business As)

Practice location

399 Farmington Ave
Suite 200
Farmington, CT 06032-1936

Phone 860-547-0616 · Fax 860-524-2655

Mailing address

17 Talcott Notch Rd
Farmington, CT 06032-1818

Phone 860-524-2626 · Fax 860-677-5029

Authorized official

John L Fundock
Vice President
86054567188

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