Individual
DR. JACK A SCHMETTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
336 N MAIN ST, WEST HARTFORD, CT 06117-2510
(860) 232-4891
(860) 263-1016
Mailing address
336 N MAIN ST, HARTFORD MEDICAL GROUP, WEST HARTFORD, CT 06117-2510
(860) 232-4891
(860) 236-1016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2045171
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001267500
—
CT
Enumeration date
12/28/2005
Last updated
08/23/2011
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