Provider Demographics
NPI:1083664676
Name:GREATER HARTFORD ENDOCRINOLOGY INC.
Entity Type:Organization
Organization Name:GREATER HARTFORD ENDOCRINOLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARKUS
Authorized Official - Middle Name:
Authorized Official - Last Name:WETTSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-524-1175
Mailing Address - Street 1:85 SEYMOUR ST
Mailing Address - Street 2:SUITE 1022
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5501
Mailing Address - Country:US
Mailing Address - Phone:860-524-1175
Mailing Address - Fax:860-278-3863
Practice Address - Street 1:85 SEYMOUR ST
Practice Address - Street 2:SUITE 1022
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5501
Practice Address - Country:US
Practice Address - Phone:860-524-1175
Practice Address - Fax:860-278-3863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC03543Medicare PIN