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Contact Information

CONNECTICUT GERIATRIC SPECIALTY GROUP, PC
1 ABRAHMS BOULEVARD
WEST HARTFORD, CT06117
 Phone: 860-523-3854
 Fax: 860-523-3828
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CONNECTICUT GERIATRIC SPECIALTY GROUP PC · (Female)

NPI # 1457573933
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2007
Last updated 09/04/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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