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Individual

DR. DOUGLAS HARTLEY VIETS

Active
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Individual

DR. DOUGLAS HARTLEY VIETS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
021157
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010021157CT01
ANTHEM BLUE CROSS
CT
01
—
0174370 001
CIGNA
CT
01
—
076141
CONNECTICARE
CT
01
—
0S0312
HEALTH NET
CT
01
—
17464
HEALTH NEW ENGLAND
CT
01
—
2054418
AETNA
CT
05
—
3164942
—
MA
01
—
P1314456
OXFORD
CT
Enumeration date
09/19/2005
Last updated
07/12/2007
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