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NPI Profile for STATE OF CONNECTICUT HEALTH CENTER in FARMINGTON, CT.
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Hematology-Oncology |
2080P0207X | 37 | Physician/Pediatric Medicine |
| NPI # | 1669656575 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/27/2007 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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STATE OF CONNECTICUT HEALTH CENTER
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STATE OF CONNECTICUT HEALTH CENTER