Individual
DR. JAN TERRY HACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 SEYMOUR STREET, ANESTHESIA DEPT, HARTFORD, CT 06106-5539
(860) 545-2117
(860) 289-0742
Mailing address
99 EAST RIVER DRIVE, EAST HARTFORD, CT 06108-7301
(860) 282-4133
(860) 289-0742
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
028109
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001281097
—
CT
Enumeration date
01/18/2006
Last updated
08/21/2012
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