Individual
DR. DOUGLAS HARTLEY VIETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 SEYMOUR ST, STE 416, HARTFORD, CT 06106-5501
(860) 947-8500
(860) 524-8643
Mailing address
85 SEYMOUR ST, STE 416, HARTFORD, CT 06106-5501
(860) 947-8500
(860) 524-8643
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
021157
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010021157CT01
ANTHEM BLUE CROSS
CT
01
—
0174370 001
CIGNA
CT
01
—
076141
CONNECTICARE
CT
01
—
0S0312
HEALTH NET
CT
01
—
17464
HEALTH NEW ENGLAND
CT
01
—
2054418
AETNA
CT
05
—
3164942
—
MA
01
—
P1314456
OXFORD
CT
Enumeration date
09/19/2005
Last updated
07/12/2007
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