Healthcare Provider Details

I. General information

NPI: 1821050808
Provider Name (Legal Business Name): UMIT EMRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST CONNECTICUT CHILDREN'S MEDICAL CENTER
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

PO BOX 31694
HARTFORD CT
06150
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-9400
  • Fax:
Mailing address:
  • Phone: 212-256-3682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number188648
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number047676
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: