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Contact Information

CT.GASTROENTEROLOGY ASSOC. PC
1000 ASYLUM AVE
SUITE 3212
HARTFORD, CT06105-1770
 Phone: 860-522-1171
 Fax: 860-493-6524
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

163WX0106X
Indicates primary specialty

NPI Profile & details for CTGASTROENTEROLOGY ASSOC PC · (Female)

NPI Number 1295976397
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2009
Last updated 03/19/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 001824
  • CT Medicaid 004221941
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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