Individual
LITTY MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
65 KANE ST, WEST HARTFORD, CT 06119-2110
(860) 523-6436
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 523-6436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0083551
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2017
Last updated
08/22/2023
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