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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

NPI # 1457573933
LBN Legal business name CONNECTICUT GERIATRIC SPECIALTY GROUP, PC
Authorized official DAVID HOULE - (VICE PRESIDENT/CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/03/2007
Last updated 09/04/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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