Healthcare Provider Details

I. General information

NPI: 1649917600
Provider Name (Legal Business Name): TREMEARNE SOLOMON HOTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2022
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WASHINGTON ST
HARTFORD CT
06106-3351
US

IV. Provider business mailing address

1290 SILAS DEANE HWY
HARTFORD CT
06109-4337
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-7800
  • Fax:
Mailing address:
  • Phone: 860-545-7200
  • Fax: 860-545-7288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number79450
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: