Provider Demographics
NPI:1124092515
Name:HYLWA, CATHERINE ELISABETH (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ELISABETH
Last Name:HYLWA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:199 OLD HARTFORD RD
Mailing Address - Street 2:UNIT #6
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-2739
Mailing Address - Country:US
Mailing Address - Phone:860-537-2262
Mailing Address - Fax:860-537-2273
Practice Address - Street 1:199 OLD HARTFORD RD
Practice Address - Street 2:UNIT #6
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-2739
Practice Address - Country:US
Practice Address - Phone:860-537-2262
Practice Address - Fax:860-537-2273
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT39118207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001391185Medicaid
CTG45340Medicare UPIN
CT001391185Medicaid