Individual
DR. MATTHEW SCOTT WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 S MAIN ST STE 5, WEST HARTFORD, CT 06107-2400
(860) 521-4044
(860) 521-3885
Mailing address
81 S MAIN ST, SUITE #5, WEST HARTFORD, CT 06107-2405
(860) 521-4044
(860) 521-3885
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042022
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008002771
—
CT
Enumeration date
11/29/2006
Last updated
03/17/2009
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