Provider Demographics
NPI:1558369561
Name:INSEL, JARED M (MD)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:M
Last Name:INSEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KENSINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-223-0220
Mailing Address - Fax:860-826-4962
Practice Address - Street 1:1 LAKE ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1396
Practice Address - Country:US
Practice Address - Phone:860-223-0220
Practice Address - Fax:860-826-4962
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT24813207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT139484OtherWELLCARE MEDICARE
CT001248137Medicaid
CT010024813CT01OtherBCBS N BCFP PROV ID
CT481462OtherAETNA REF ID
CT01024813OtherCIGNA PROV ID
NY01908387OtherNY MEDICAID
CT004214459Medicaid
CT1255448155OtherGHMC GRP NPI ID
CT5004101OtherCONNECTICARE PROV ID
CTP369914OtherOXFORD PROV ID
CT01024813OtherCIGNA PROV ID
CT004214459Medicaid
CT139484OtherWELLCARE MEDICARE