Individual
DR. MICHAEL I. FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 WOODLAND ST, RADIOLOGY DEPARTMENT, HARTFORD, CT 06105-1208
(860) 714-4830
Mailing address
1000 ASYLUM AVE, SUITE 3201E, HARTFORD, CT 06105-1770
(860) 714-7121
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
042507
CT
2085R0202X
Diagnostic Radiology Physician
Primary
042507
CT
Other
Enumeration date
09/20/2005
Last updated
04/04/2013
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