Sittambalam, Earle J

Sittambalam, Earle J is an individual health care provider with primary practice located at 300 Kensington Ave Grove Hill Medical Center, New Britain CT 06051-3916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sittambalam, Earle J can be contacted via phone (860) 832-8150.

Contact Information

Primary practice address
300 Kensington Ave Grove Hill Medical Center New Britain CT 06051-3916
Fax: (860) 224-6298
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 016540 Connecticut

Profile Details

NPI number 1194711960
LBN Legal business name Sittambalam, Earle J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 9th, 2007 - about 17 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 1194711960 NPPES
Connecticut Other 476899 AETNA
Connecticut Other P369700 AETNA
Connecticut Other 1255448155 AETNA
Connecticut Other 135725 AETNA
Connecticut Other 01016540 AETNA
Connecticut Other 5321501 AETNA
Connecticut Other 060036 AETNA
Connecticut Other 442111236 AETNA
Connecticut MEDICAID 001165406 AETNA
Connecticut MEDICAID 004214483 AETNA
Connecticut Other 010016540CT01 AETNA

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