Vdovenko, Alexander

Vdovenko, Alexander is an individual health care provider with primary practice located at 100 Grand St , New Britain CT 06052-2016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Vdovenko, Alexander can be contacted via phone (860) 224-5584.

Contact Information

Primary practice address
100 Grand St New Britain CT 06052-2016
Phone: (860) 224-5584
Fax: (860) 224-5946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 39677 Connecticut

Profile Details

NPI number 1003874686
LBN Legal business name Vdovenko, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 4th, 2018 - about 7 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 1003874686 NPPES
Connecticut Other 0007210291 AETNA USHC
Connecticut Other 061557734 AETNA USHC
Connecticut Other 0V6399 AETNA USHC
Connecticut Other 615577 AETNA USHC
Connecticut MEDICAID 001396771 AETNA USHC
Connecticut Other 500HBL433CT01 AETNA USHC
Connecticut Other 004199057P1 AETNA USHC
Connecticut Other 500HBL433CT02 AETNA USHC
Connecticut Other 9094684 AETNA USHC
Connecticut Other 004199057P2 AETNA USHC
Connecticut Other 1104295 AETNA USHC

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