Healthcare Provider Details

I. General information

NPI: 1598748840
Provider Name (Legal Business Name): SETH L LAPUK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST SUITE 2B
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

282 WASHINGTON ST SUITE 2B
HARTFORD CT
06106-3322
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-9216
  • Fax: 860-545-9414
Mailing address:
  • Phone: 860-545-9216
  • Fax: 860-545-9414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number033709
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: