Individual
JEFFREY M FACTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 FARMINGTON AVENUE, SUITE 207, WEST HARTFORD, CT 06119
(860) 232-9911
(860) 233-5996
Mailing address
836 FARMINGTON AVENUE, SUITE 207, WEST HARTFORD, CT 06119
(860) 232-9911
(860) 233-5996
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
031434
CT
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
031434
CT
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
31434
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001314343
—
CT
01
—
00131434300
BLUE CROSS MEDICAID
—
01
—
004394508
MEDICAID GROUP CAAC
—
01
—
010031434CT01
BLUE CROSS
—
01
—
0139300005
CIGNA
—
01
—
023998
CONNECTICARE
—
01
—
043518
AETNA
—
01
—
131576
PREFERRED ONE
—
01
—
OS2162
HEALTHNET MEDICAID
—
01
—
P2666155
OXFORD
—
Enumeration date
11/09/2005
Last updated
04/14/2022
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