Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 031434 | CT |
N | 2080P0201X | Pediatric Allergist | 31434 | CT |
NPI | 1457332298 |
---|---|
Provider Name | Jeffrey M Factor |
First Address | West Hartford, CT 06119 |
Second Address | West Hartford, CT 06119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00131434300 | BLUE CROSS MEDICAID (01) | |
010031434CT01 | BLUE CROSS (01) | |
0139300005 | CIGNA (01) | |
023998 | CONNECTICARE (01) | |
043518 | AETNA (01) | |
131576 | PREFERRED ONE (01) | |
F26038 | (02) | |
OS2162 | HEALTHNET MEDICAID (01) | |
P2666155 | OXFORD (01) |