Healthcare Provider Details

I. General information

NPI: 1003889767
Provider Name (Legal Business Name): CATHERINE CLINTON WILEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON STREET
HARTFORD CT
06106
US

IV. Provider business mailing address

21 GRAND STREET
HARTFORD CT
06106
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-9300
  • Fax: 860-545-9301
Mailing address:
  • Phone: 860-550-7500
  • Fax: 860-550-7501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number034904
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: