Whalio Doctors

NPI 1063865814

Community Health Services

Organisation Clinic/Center Hartford, CT

Practice location

Address
500 Albany Ave, Hartford, CT 06120-2508
Phone
(860) 249-9625
Fax
(860) 808-1540

Authorised official

Name
Gregory Statin
Title
Ceo
Phone
(860) 249-9625

Registered specialties

Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 3319 (CT)

Registry record

NPI
1063865814
Entity type
Organization
NPI issued
18 Jul 2016
Record last updated
18 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.