JEFFREY M FACTOR MD

Allergy and Immunology

West Hartford, Connecticut

Provider NPI: 1457332298

Provider Information:
 JEFFREY M FACTOR MD


Practice Location:
836 FARMINGTON AVENUE SUITE 207 WEST HARTFORD, CT 06119 US
Tel: 860-232-9911  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
X	207K00000X	Physicians Allergy & Immunology	CT	031434
X	207KI0005X	Physicians Allergy & Immunology	CT	031434
X	2080P0201X	Physicians Pediatrics	CT	31434

Other Provider Identifiers:

Issuer	Number	State	Type
BLUE CROSS MEDICAID	00131434300		01
BLUE CROSS	010031434CT01		01
CONNECTICARE	023998		01
HEALTHNET MEDICAID	OS2162		01
OXFORD	P2666155		01
CIGNA	0139300005		01
PREFERRED ONE	131576		01
AETNA	043518		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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