State of Connecticut Health Center
State of Connecticut Health Center is a Pediatric Hematology & Oncology Physician in Farmington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.
- Licensed in
- CT
- In the registry since
- 2007
Practice location Address checks out
263 Farmington Ave Pediatric Hematology/oncolotyFarmington, CT 06030-0001
Phone: (860) 679-2100
Fax: (860) 679-4815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Hematology & Oncology Physician (primary) | Taxonomy 2080P0207X (CT) |
|---|
Record details
| NPI number | 1669656575 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Connecticut Health Center |
| Authorized official | Denis Lafreniere — Medical Director · (860) 679-7503 |
| Other names | Pediatric Hematology/Oncology |
| NPI enumerated | December 27, 2007 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 263 Farmington Ave, Provider Enrollment - Provider Enrollment, Farmington, CT 06030-2212 |