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Individual
DR. ALFREDO LUIS AXTMAYER
Active
Individual
DR. ALFREDO LUIS AXTMAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
022215
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004239176
—
CT
01
—
0045604
AETNA ID #
CT
01
—
010022215CT07
ANTHEM ID #
CT
01
—
2V3535
HEALTHNET ID #
CT
01
—
783182
CONNECTICARE ID #
CT
01
—
P1279064
OXFORD ID #
CT
Enumeration date
11/15/2005
Last updated
03/30/2011
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