| Organization Name: | HAGEDORN ASSOC PC |
| NPI Number: | 1114059466 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA BERTOLA (OFFICE MANAGER) |
| Mailing Address: | 240 East St Plainville |
| State: | CT US |
| Postal Code: | 06062 |
| Phone Number: | 8607474541 |
| Fax Number: | 8607931218 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |