About
Location :
Added by Jopie, at 01 January 2020
Description
Program(s):
| SIMS-1563009 | ||||||||
| Program ID : 1563009 | ||||||||
| Registry ID : 110069402195 | ||||||||
| Program Type : STATE MASTER | ||||||||
| Program Status : | ||||||||
| Federal State Code : STATE | ||||||||
| Facility Name : RONALD ALBERT, DMD | ||||||||
| Location Address : 360 TOLLAND TPKE | ||||||||
| Supplemental Location : | ||||||||
| City : MANCHESTER | ||||||||
| County : HARTFORD | ||||||||
| FIPS Code : 09003 | ||||||||
| State Code : CT | ||||||||
| Country : USA | ||||||||
| ZIP Code : 06042-1771 | ||||||||
| Congressional Dist Num : 01 | ||||||||
| Census Block Code : 090035141023000 | ||||||||
| HUC Code : 01080205 | ||||||||
| EPA Region Code : 01 | ||||||||
| Site Type Name : STATIONARY | ||||||||
| Location Description : | ||||||||
| US Mexico Border : | ||||||||
| Program Acronyms : SIMS:1563009 | ||||||||
| Conveyor : FRS-GEOCODE | ||||||||
| Collect Description : ADDRESS MATCHING-HOUSE NUMBER | ||||||||
| Ref Point Description : CENTER OF A FACILITY OR STATION | ||||||||
| HDATUM Description : NAD83 | ||||||||
| Source Description : | ||||||||
| Coordinate : 41.81048,-72.52158 | ||||||||
| Accuracy : 30 | ||||||||
| Federal Facility Code : | ||||||||
| Federal Agency Code : | ||||||||
| Tribal Land Code : | ||||||||
| Tribal Land Name : | ||||||||
| Legislative Dist Num : 04 | ||||||||
| Data Quality Code : Valid | ||||||||
| NAICS | ||||||||
| No Data : | ||||||||
| SIC | ||||||||
| No Data : | ||||||||
| Organization | ||||||||
| 1 | ||||||||
| Interest Type : STATE MASTER | ||||||||
| Affiliation Type : ORGANIZATION | ||||||||
| Organization Name : CONNECTICUT PERIODONTAL SPECIALISTS, LLC | ||||||||
| Organization Type : UNKNOWN | ||||||||
| DUNS Number : | ||||||||
| Division Name : | ||||||||
| Phone Number : (860) 646-1429 | ||||||||
| Alternate Phone : 8606461429 | ||||||||
| Fax Number : (860) 646-6897 | ||||||||
| Email Address : PERIOLAPORTA@LIVE.COM | ||||||||
| EIN : | ||||||||
| State Business ID : | ||||||||
| Mailing Address : 360 TOLLAND TPKE | ||||||||
| Supplemental Address : SUITE 1-C | ||||||||
| City : MANCHESTER | ||||||||
| State Code : CT | ||||||||
| Country : UNITED STATES | ||||||||
| 2 | ||||||||
| Interest Type : STATE MASTER | ||||||||
| Affiliation Type : ORGANIZATION | ||||||||
| Organization Name : SPORTS MEDICINE AND ORTHOPEDIC SURGERY P.C. | ||||||||
| Organization Type : UNKNOWN | ||||||||
| DUNS Number : | ||||||||
| Division Name : | ||||||||
| Phone Number : (860) 649-0063 | ||||||||
| Alternate Phone : | ||||||||
| Fax Number : 8606433642 | ||||||||
| Email Address : BDEVANNEY@SPORTSMEDCT.COM | ||||||||
| EIN : | ||||||||
| State Business ID : | ||||||||
| Mailing Address : 360 TOLLAND TPKE | ||||||||
| Supplemental Address : SUITE 3C | ||||||||
| City : MANCHESTER | ||||||||
| State Code : CT | ||||||||
| Country : UNITED STATES | ||||||||
| 3 | ||||||||
| Interest Type : STATE MASTER | ||||||||
| Affiliation Type : ORGANIZATION | ||||||||
| Organization Name : THE VASCULAR EXPERTS, LLC | ||||||||
| Organization Type : UNKNOWN | ||||||||
| DUNS Number : | ||||||||
| Division Name : | ||||||||
| Phone Number : 8606611383 | ||||||||
| Alternate Phone : (860) 661-1383 | ||||||||
| Fax Number : | ||||||||
| Email Address : AWILLIAMS@THEVASCULAREXPERTS.COM | ||||||||
| EIN : | ||||||||
| State Business ID : | ||||||||
| Mailing Address : 495 HAWLEY LN | ||||||||
| Supplemental Address : | ||||||||
| City : STRATFORD | ||||||||
| State Code : CT | ||||||||
| Country : UNITED STATES | ||||||||
| 4 | ||||||||
| Interest Type : STATE MASTER | ||||||||
| Affiliation Type : OWNER | ||||||||
| Organization Name : CONNECTICUT ENDODONTIC ASSOCIATES PC | ||||||||
| Organization Type : UNKNOWN | ||||||||
| DUNS Number : | ||||||||
| Division Name : | ||||||||
| Phone Number : 8606830244 | ||||||||
| Alternate Phone : (860) 646-4811 | ||||||||
| Fax Number : (860) 645-0882 | ||||||||
| Email Address : | ||||||||
| EIN : | ||||||||
| State Business ID : | ||||||||
| Mailing Address : 360 TOLLAND TPKE | ||||||||
| Supplemental Address : SUITE 2A | ||||||||
| City : MANCHESTER | ||||||||
| State Code : CT | ||||||||
| Country : UNITED STATES | ||||||||
| 5 | ||||||||
| Interest Type : STATE MASTER | ||||||||
| Affiliation Type : OWNER | ||||||||
| Organization Name : CONNECTICUT PERIODONTAL SPECIALISTS, LLC | ||||||||
| Organization Type : UNKNOWN | ||||||||
| DUNS Number : | ||||||||
| Division Name : | ||||||||
| Phone Number : (860) 646-1429 | ||||||||
| Alternate Phone : 8606461429 | ||||||||
| Fax Number : (860) 646-6897 | ||||||||
| Email Address : PERIOLAPORTA@LIVE.COM | ||||||||
| EIN : | ||||||||
| State Business ID : | ||||||||
| Mailing Address : 360 TOLLAND TPKE | ||||||||
| Supplemental Address : SUITE 1-C | ||||||||
| City : MANCHESTER | ||||||||
| State Code : CT | ||||||||
| Country : UNITED STATES | ||||||||
| 6 | ||||||||
| Interest Type : STATE MASTER | ||||||||
| Affiliation Type : OWNER | ||||||||
| Organization Name : SOUTHERN CONNECTICUT VASCULAR CENTER, LLC | ||||||||
| Organization Type : UNKNOWN | ||||||||
| DUNS Number : | ||||||||
| Division Name : | ||||||||
| Phone Number : (860) 740-2283 | ||||||||
| Alternate Phone : 2033752861 | ||||||||
| Fax Number : (203) 375-5615 | ||||||||
| Email Address : AWILLIAMS@THEVASCULAREXPERTS.COM | ||||||||
| EIN : | ||||||||
| State Business ID : | ||||||||
| Mailing Address : 360 TOLLAND TPKE | ||||||||
| Supplemental Address : | ||||||||
| City : MANCHESTER | ||||||||
| State Code : CT | ||||||||
| Country : UNITED STATES | ||||||||
| 7 | ||||||||
| Interest Type : STATE MASTER | ||||||||
| Affiliation Type : OWNER | ||||||||
| Organization Name : SPORTS MEDICINE AND ORTHOPEDIC SURGERY P.C. | ||||||||
| Organization Type : UNKNOWN | ||||||||
| DUNS Number : | ||||||||
| Division Name : | ||||||||
| Phone Number : (860) 649-0063 | ||||||||
| Alternate Phone : | ||||||||
| Fax Number : 8606433642 | ||||||||
| Email Address : BDEVANNEY@SPORTSMEDCT.COM | ||||||||
| EIN : | ||||||||
| State Business ID : | ||||||||
| Mailing Address : 360 TOLLAND TPKE | ||||||||
| Supplemental Address : SUITE 3C | ||||||||
| City : MANCHESTER | ||||||||
| State Code : CT | ||||||||
| Country : UNITED STATES | ||||||||
| Alternative-Names | ||||||||
| Contact | ||||||||
| 1 | ||||||||
| Interest Type : STATE MASTER | ||||||||
| Name : RONALD ALBERT | ||||||||
| Title : | ||||||||
| Phone Number : 8606495000 | ||||||||
| Alternate Phone Number : (860) 649-5000 | ||||||||
| Fax Number : 8606453852 | ||||||||
| Email : STAFF@DRRONALBERT.COM | ||||||||
| Mailing Address : 360 TOLLAND TPKE #2B | ||||||||
| Supplemental Address : | ||||||||
| City : MANCHESTER | ||||||||
| State Code : CT | ||||||||
| ZIP Code : 06042-1771 | ||||||||
| Country : UNITED STATES | ||||||||
| Affiliation Type : INDIVIDUAL | ||||||||
| Mailing-Address | ||||||||
| No Data : | ||||||||
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