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Contact Information

EAST HARTFORD MEDICAL CENTER INC
580 BURNSIDE AVENUE
SUITE 4
EAST HARTFORD, CT06108
 Phone: 860-528-5068
 Fax: 860-528-2341
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Chiropractor

111N00000X 35 Chiropractic
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EAST HARTFORD MEDICAL CENTER INC · (Female)

NPI Number 1942274113
Status Active
Credentials
Entity Individual
Enumeration date 02/15/2006
Last updated 03/06/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 001764
  • CT License # 0033368
  • CT License # 004611
  • CT License # 031248
  • CT License # 033904
  • CT License # 0425088
  • CT License # 046516
  • CT License # 4721
  • CT Medicaid 004224622
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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