Rheumatology Specialists Of Connecticut, INC.
Internal Medicine, Rheumatology in South Windsor, CT. Organization (NPI-2).
NPI number1356849335
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1356849335
- Entity type
- Organization (NPI-2)
- Legal business name
- Rheumatology Specialists Of Connecticut, INC.
- Organization subpart
- No
- Enumeration date
- Jan 25, 2018
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | 037380 | CT | Yes |
Practice location
1504 Sullivan AveSouth Windsor, CT 06074-2711
Phone 860-432-8400
Mailing address
1504 Sullivan AveSouth Windsor, CT 06074-2711
Phone 860-432-8400 · Fax 860-432-8430
Other practice locations
2701 Tamarack Ave
South Windsor, CT 06074-5561
South Windsor, CT 06074-5561
Phone 860-432-8400 · Fax 860-432-8430
Authorized official
Hung Tan
Practice Manager
8604328400
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