Connecticut Health Care Group, LLC
Internal Medicine in Glastonbury, CT. Organization (NPI-2).
NPI number1376585935
StatusActive
Last updated in NPPESMar 25, 2014
Details
- NPI
- 1376585935
- Entity type
- Organization (NPI-2)
- Legal business name
- Connecticut Health Care Group, LLC
- Organization subpart
- No
- Enumeration date
- Jun 11, 2006
- Last updated
- Mar 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 031112 | CT | Yes |
Practice location
300 Hebron AveSuite 113
Glastonbury, CT 06033-2176
Phone 860-657-0764
Mailing address
300 Hebron AveSuite 113
Glastonbury, CT 06033-2176
Phone 860-657-0764
Authorized official
Shannon Lahouse
Office Manager
8606570764
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