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Individual
ROLAND JAMES GRAYDON
Active
Individual
ROLAND JAMES GRAYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
015005
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001150051
—
CT
01
—
010015005CT01
ANTHEM BCBS
CT
01
—
06-1406459
PRIVATE HEALTHCARE SYSTEM
CT
01
—
076049
CONNECTICARE
CT
01
—
0S0306
HEALTH NET
CT
01
—
12739
HEALTH NEW ENGLAND
CT
01
—
2054764
AETNA
CT
05
—
3164870
—
MA
01
—
342585
WELLCARE
CT
01
—
4915512 001
CIGNA
CT
01
—
P1096767
OXFORD
CT
Enumeration date
08/22/2005
Last updated
03/29/2011
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