Provider Demographics
NPI:1619094646
Name:DEMIRCI, CEM SINAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CEM
Middle Name:SINAN
Last Name:DEMIRCI
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 1:85 SEYMOUR ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5501
Mailing Address - Country:US
Mailing Address - Phone:860-545-9370
Mailing Address - Fax:860-545-9376
Practice Address - Street 1:85 SEYMOUR ST
Practice Address - Street 2:SUITE 500
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5501
Practice Address - Country:US
Practice Address - Phone:860-545-9370
Practice Address - Fax:860-545-9376
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0480972080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008004490OtherMEDICAID AVRS
CTD400007575Medicare UPIN