Provider Demographics
NPI:1699868216
Name:MEDICAL & ENDOCRINE CONSULTANTS,LLC
Entity type:Organization
Organization Name:MEDICAL & ENDOCRINE CONSULTANTS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:GREY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-246-5300
Mailing Address - Street 1:85 SEYMOUR STREET
Mailing Address - Street 2:SUITE 1007
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5568
Mailing Address - Country:US
Mailing Address - Phone:860-246-5300
Mailing Address - Fax:860-524-8230
Practice Address - Street 1:85 SEYMOUR STREET
Practice Address - Street 2:SUITE 1007
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5568
Practice Address - Country:US
Practice Address - Phone:860-246-5300
Practice Address - Fax:860-524-8230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT014871174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTOV7228OtherHEALTHNET
CTP2368112OtherOXFORD
0676854OtherAETNA
CT704170OtherCONNECTICARE
CT010014871CT01OtherBLUE CROSS BLUE SHIELD
0676854OtherAETNA
=========OtherCIGNA