Individual
DR. MICHAEL JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
631 SOUTH QUAKER LN, WEST HARTFORD, CT 06110-1026
(860) 233-5133
(860) 233-5212
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
023566
CT
Other
Enumeration date
08/12/2006
Last updated
07/16/2007
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