Individual
JON J ERNSTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 LEWIS AVE, SUITE 106, MERIDEN, CT 06451-2121
(203) 886-0036
(203) 886-0072
Mailing address
2139 SILAS DEANE HWY, ROCKY HILL, CT 06067-2336
(860) 257-4131
(860) 257-4519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
025772
CT
207RG0100X
Gastroenterology Physician
Primary
025772
CT
207RG0100X
Gastroenterology Physician
1022596
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001257724
—
CT
Enumeration date
07/26/2006
Last updated
04/03/2025
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