Individual
DR. JODY R LEWINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
336 NORTH MAIN STREET, WEST HARTFORD, CT 06117
(860) 232-4891
(860) 263-1016
Mailing address
336 NORTH MAIN STREET, HARTFORD MEDICAL GROUP, WEST HARTFORD, CT 06117-0186
(860) 232-4891
(860) 236-1016
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
030729
CT
207R00000X
Internal Medicine Physician
Primary
030729
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001307299
—
CT
Enumeration date
12/27/2005
Last updated
08/21/2015
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