# DR. PAUL DEAN DEMARTINI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063451201
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 024378 | CT | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 06/27/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001243781 | — | CT |
| 01 | — | 010024378CT01 | ANTHEM BLUE CROSS | CT |
| 01 | — | 0V5159 | HEALTH NET | CT |
| 01 | — | 524378 | CONNECTICARE | CT |
| 01 | — | ZS218 | OXFORD | CT |