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Individual

DR. RAFAEL WURZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
85 SEYMOUR ST STE 416, HARTFORD HEALTHCARE MEDICAL GROUP, HARTFORD, CT 06106-5523
(860) 947-8500
(860) 524-8643
Mailing address
85 SEYMOUR ST STE 416, HARTFORD HEALTHCARE MEDICAL GROUP, HARTFORD, CT 06106-5523
(860) 947-8500
(860) 524-8643

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
023487
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001234871
CT
05
004214467
CT
01
010023487CT06
BCBS & BCFP
CT
01
01223487
CIGNA
CT
01
060069
HEALTH NET
CT
01
07608703
CONNECTICARE
CT
01
1255448155
GHMC GROUP NPI ID
CT
01
134852
WELLCARE MEDICARE
CT
01
482013
AETNA
CT
01
P369846
OXFORD
CT
Enumeration date
10/04/2005
Last updated
07/08/2015
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