Healthcare Provider Details

I. General information

NPI: 1962431791
Provider Name (Legal Business Name): THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 PLAINVILLE AVE
FARMINGTON CT
06032-3121
US

IV. Provider business mailing address

100 RETREAT AVE SUITE 900
HARTFORD CT
06106-2528
US

V. Phone/Fax

Practice location:
  • Phone: 860-677-0393
  • Fax:
Mailing address:
  • Phone: 860-525-8283
  • Fax: 860-525-1930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number041285
License Number StateCT

VIII. Authorized Official

Name: DR. LAWRENCE ENGMANN
Title or Position: DR. LAWRENCE ENGMANN
Credential: M.D
Phone: 860-525-8283