CT.GASTROENTEROLOGY ASSOC. PC; NPI #1295976397

Contact Information

CT.GASTROENTEROLOGY ASSOC. PC

1000 ASYLUM AVE
SUITE 3212
HARTFORD, CT 06105-1770

Phone: 860-522-1171
Fax: 860-493-6524
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Occupational Health	163WX0106X

Indicates primary specialty

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NPI Profile & details for CT.GASTROENTEROLOGY ASSOC. PC

NPI # 1295976397

LBN Legal business name CT.GASTROENTEROLOGY ASSOC. PC

Authorized official JOHN POLIO - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/19/2009

Last updated 03/19/2009 - About 17 years ago

Identifiers

CT	License #	001824
CT	Medicaid	004221941

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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CT.GASTROENTEROLOGY ASSOC. PC

Contact Information

Specialty

Occupational Health

NPI Profile & details for CT.GASTROENTEROLOGY ASSOC. PC

Reviews for CT.GASTROENTEROLOGY ASSOC. PC