EDWARD JOHN DETWEILER

HARTFORD, CT
NPI1588152789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CT  66853)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CT  66853)
Enumeration Date2018-04-24
Last Update Date2023-04-28
Business Address
Dr. EDWARD JOHN DETWEILER DO
114 WOODLAND ST
HARTFORD, CT 06105-1208
Phone number: 860-714-4000
Mailing Address
Dr. EDWARD JOHN DETWEILER DO
71 HAYNES ST
MANCHESTER, CT 06040-4131
Phone number: 860-533-4679