Individual
DR. JEFFREY L ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
56 HAYNES ST, MANCHESTER, CT 06040-4111
(860) 646-1167
(860) 645-3610
Mailing address
4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032-2573
(860) 284-5200
(860) 284-5333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
027499
CT
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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