Individual
DR. JEFFREY J MIHALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 WILLARD AVE, GROVE HILL MEDICAL CENTER, NEWINGTON, CT 06111-2300
(860) 666-5111
(860) 666-5153
Mailing address
300 KENSINGTON AVE, GROVE HILL MEDICAL CENTER, NEW BRITAIN, CT 06051-3916
(860) 666-5111
(860) 666-5153
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
035025
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001350256
—
CT
05
—
004196095
—
CT
01
—
010035025CT02
BCBS N BCFP PROV ID
CT
01
—
01035025
CIGNA PROV ID
CT
01
—
060121
HEALTH NET PROV ID
CT
01
—
1255448155
GHMC GRP NPI ID
CT
01
—
134928
WELLCARE MEDICARE
CT
01
—
350250
CONNECTICARE PROV ID
CT
01
—
550419
AETNA PROV ID
CT
01
—
P369900
OXFORD PROV ID
CT
Enumeration date
07/18/2005
Last updated
03/09/2012
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