Diez, Jorge L.

Diez, Jorge L. is an individual health care provider with primary practice located at 893 Main St Ste 202 , East Hartford CT 06108-2293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Diez, Jorge L. can be contacted via phone (860) 247-2137.

Contact Information

Primary practice address
893 Main St Ste 202 East Hartford CT 06108-2293
Phone: (860) 247-2137
Fax: (860) 728-0480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 042533 Connecticut

Profile Details

NPI number 1316940463
LBN Legal business name Diez, Jorge L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jun 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316940463 NPPES
Connecticut MEDICAID 001425330

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