Individual
JOHN MICHAEL SANTOPIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 RETREAT AVE, HARTFORD HOSPITAL PSYCH DEPT, HARTFORD, CT 06106-3309
(860) 545-7260
Mailing address
200 RETREAT AVE, HARTFORD HOSPITAL PSYCH DEPT, HARTFORD, CT 06106-3309
(860) 545-7260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
015839
ME
2084P0800X
Psychiatry Physician
Primary
044581
CT
2084P0800X
Psychiatry Physician
2013-00945
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164451563
—
NC
05
—
NC2374
—
SC
Enumeration date
06/30/2006
Last updated
11/07/2018
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