Individual
EMMANUEL JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 ASYLUM AVE, SUITE 4310, HARTFORD, CT 06105-1770
(860) 247-2137
(860) 728-0480
Mailing address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0253
(860) 263-0262
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
028901
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001289017
—
CT
Enumeration date
05/23/2005
Last updated
02/07/2014
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