Individual
ELIZA GENTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(413) 459-7034
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(413) 459-7034
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
80511
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
05/09/2025
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