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1720083769

NPI Code Detail

MEDICARE: UNIVERSITY OF CONNECTICUT HEALTH CENTER

MEDICARE: UNIVERSITY OF CONNECTICUT HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0106X	Oral and Maxillofacial Pathology Dentistry		CT
2	207N00000X	Dermatology Physician		CT
3	207R00000X	Internal Medicine Physician		CT
4	207RH0003X	Hematology & Oncology Physician		CT
5	207RN0300X	Nephrology Physician		CT
6	207RP1001X	Pulmonary Disease Physician		CT
7	207X00000X	Orthopaedic Surgery Physician		CT
8	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician		CT
9	2084N0400X	Neurology Physician		CT
10	2085R0202X	Diagnostic Radiology Physician		CT
11	2086X0206X	Surgical Oncology Physician		CT
12	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician		CT
13	363LA2200X	Adult Health Nurse Practitioner		CT
14	208D00000X	General Practice Physician		CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720083769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF CONNECTICUT HEALTH CENTER

Provider Business Mailing Address
First Line	:	263 FARMINGTON AVE
Second Line	:	PROVIDER ENROLLMENT
City	:	FARMINGTON
State	:	CT
Zip	:	06030-8082
Country	:	US
Telephone Number	:	860-679-7503
Fax Number	:	860-679-1610

Provider Business Practice Location Address
First Line	:	263 FARMINGTON AVE
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06030-0001
Country	:	US
Telephone Number	:	860-679-7503
Fax Number	:	860-679-1610

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DENIS LAFRENIERE
Credential	:	MD
Telephone Number	:	860-679-7503

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	05/19/2025

Similar Medicare Providers

1609879519 — MICHAEL JOSEPH GIORDANO MD
Practice Location Address:

263 FARMINGTON AVE
FARMINGTON, CT
06030-0001

Practice Phone: 860-679-4228
Practice Fax: 860-679-1419

1114922069 — COURTNEY DANIELLE HOLMES APRN
Practice Location Address:

UCONN MEDICAL GROUP , 263 FARMINGTON AVENUE
FARMINGTON, CT
06030-0001

Practice Phone: 860-679-8400
Practice Fax: 860-679-8188

1316942378 — KEVIN O DIECKHAUS MD
Practice Location Address:

263 FARMINGTON AVE
FARMINGTON, CT
06030-0001

Practice Phone: 860-679-4225
Practice Fax: 860-679-1217

1295730976 — CLIFFORD YANG MD
Practice Location Address:

263 FARMINGTON AVE
FARMINGTON, CT
06030-0001

Practice Phone: 860-679-7503
Practice Fax: 860-679-1610

1770588592 — NANCY DAY ADAMS M.D.
Practice Location Address:

263 FARMINGTON AVE
FARMINGTON, CT
06030-0001

Practice Phone: 860-679-2160
Practice Fax: 860-679-1042

1073518767 — DOUGLAS D'ANDREA MD
Practice Location Address:

263 FARMINGTON AVE
FARMINGTON, CT
06030-0001

Practice Phone: 860-679-2893
Practice Fax: 860-679-4587

Directions to “UNIVERSITY OF CONNECTICUT HEALTH CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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