Organization · Type 2 NPI
Central Connecticut Gastroenterology LLC
Specialist · South Windsor, CT
NPI number
1295874105
Active
Practice location
2400 Tamarack Rd, Suite 101
South Windsor, CT 06074-5555
Fax (860) 644-1412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 021746 (CT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in South Windsor
About NPI 1295874105
Central Connecticut Gastroenterology LLC's National Provider Identifier is 1295874105, issued on Feb 6, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Windsor, CT. The record was last updated on Jan 4, 2012.