Organization
WEST HARTFORD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL C. JAQUEZ (DIRECTOR)
(860) 218-1725
Entity
Organization
Contact information
Practice address
74 PARK RD STE 4, WEST HARTFORD, CT 06119-1898
(860) 218-1725
Mailing address
74 PARK RD STE 4, WEST HARTFORD, CT 06119-1898
(860) 218-1725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008022952
—
CT
05
—
6464646
—
CT
Enumeration date
09/08/2009
Last updated
12/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us