Healthcare Provider Details

I. General information

NPI: 1386571081
Provider Name (Legal Business Name): RHEUMATOLOGY SPECIALISTS OF CONNECTICUT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 N MAIN ST STE A
MANCHESTER CT
06042-1973
US

IV. Provider business mailing address

543 N MAIN ST STE A
MANCHESTER CT
06042-1973
US

V. Phone/Fax

Practice location:
  • Phone: 860-432-8400
  • Fax: 860-432-8430
Mailing address:
  • Phone: 860-432-8400
  • Fax: 860-432-8430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY EDWARD QUAN
Title or Position: OWNER
Credential: MD
Phone: 860-432-8400