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NPI Code Detail

MEDICARE: JEFFREY S HYAMS MD

MEDICARE: JEFFREY S HYAMS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0206XPediatric Gastroenterology Physician022027CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215925037
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY S HYAMS MD
Provider Business Mailing Address
First Line : 282 WASHINGTON ST
Second Line :
City : HARTFORD
State : CT
Zip : 06106-3322
Country : US
Telephone Number : 860-545-9560
Fax Number : 860-545-9561
Provider Business Practice Location Address
First Line : 282 WASHINGTON ST
Second Line :
City : HARTFORD
State : CT
Zip : 06106-3322
Country : US
Telephone Number : 860-545-9560
Fax Number : 860-545-9561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 04/13/2022

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