Healthcare Provider Details

I. General information

NPI: 1366836587
Provider Name (Legal Business Name): JAMIE CHRISTOPHER HARRIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106
US

IV. Provider business mailing address

85 SEYMOUR ST
HARTFORD CT
06106-5501
US

V. Phone/Fax

Practice location:
  • Phone: 860-837-6262
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number61177
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number61177
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: