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Individual

DENNIS SLATER

Active
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Individual

DENNIS SLATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
026872
CT
207RH0000X
Hematology (Internal Medicine) Physician
Primary
026872
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001268721
—
CT
01
—
010026872CT02
BCBS
CT
01
—
0113957
AETNA
CT
Enumeration date
12/13/2005
Last updated
07/22/2013
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