Individual
MRS. CATHERINE CLINTON WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
282 WASHINGTON STREET, HARTFORD, CT 06106
(860) 545-9300
(860) 545-9301
Mailing address
21 GRAND STREET, HARTFORD, CT 06106
(860) 550-7500
(860) 550-7501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034904
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236007
—
CT
01
—
034904
PHYSICIAN SURGEON
CT
01
—
23808
CONTROLLED SUBSTANCE
CT
Enumeration date
02/10/2006
Last updated
09/23/2022
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