Individual
DR. VICTORIA URRUTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 RETREAT AVE, HARTFORD, CT 06106-3309
(860) 545-7746
Mailing address
200 RETREAT AVE, HARTFORD, CT 06106-3310
(860) 545-7746
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
ME0064336
FL
2084P0800X
Psychiatry Physician
ME0064336
FL
2084P0804X
Child & Adolescent Psychiatry Physician
62552
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD444889
PA
2084P0804X
Child & Adolescent Psychiatry Physician
ME0064336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102969972
—
PA
05
—
1029699720003
—
PA
01
—
62552
CT STATE LICENSE
CT
Enumeration date
05/11/2006
Last updated
07/16/2019
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