NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053785832 |   |   |   | CHARTER OAK HEALTH CENTER | 21 GRAND ST | HARTFORD | CT | 061061541 |
1114537578 |   |   |   | CHARTER OAK HEALTH CENTER, INC | 21 GRAND ST STE 1 | HARTFORD | CT | 061061541 |
1942713656 | BERESFORD | GENEVA | NICOLE |   | 1290 SILAS DEANE HWY | WETHERSFIED | CT | 061094337 |
1558364653 | COLUCCI | JENNIFER | A |   | 21 GRAND ST | HARTFORD | CT | 061061541 |
1679551170 | GREENIA | DIANA | L |   | 21 GRAND ST | HARTFORD | CT | 061061541 |
1033882600 | WANSTOK | ZELDA |   |   | 21 GRAND ST | HARTFORD | CT | 061061541 |