Most Relevant Information
Provider Data
| NPI Number: | 1316940463 |
| Provider Name: | JORGE L. DIEZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207RE0101X |
| Specialty: | Internal Medicine |
| License Number: | 42533 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 06/18/2021 |
Provider Practice Location
893 MAIN ST STE 202
EAST HARTFORD
CT
61082293
Practice Location Phone/Fax
| Phone: | 8602472137 |
| Fax: | 8607280480 |
Provider Mailing Location
30 JORDAN LN
WETHERSFIELD
CT
61091278
Provider Mailing Phone/Fax
| Phone: | 8602630253 |
| Fax: | 8602630262 |
Suggested EMR
Endocrinology EMR