Individual
JEREMY KORTMANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 WHITNEY AVE, SUITE 240, HAMDEN, CT 06518-3600
(203) 407-8002
(203) 407-8038
Mailing address
19 LUNAR DRIVE, WOODBRIDGE, CT 06525
(203) 389-7504
(203) 389-8854
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
043345
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001433458
—
CT
Enumeration date
06/06/2006
Last updated
01/28/2013
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