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Individual
DR. ROBERT AJ AVE'LALLEMANT
Active
Individual
DR. ROBERT AJ AVE'LALLEMANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
040461
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007520370
AETNA
CT
01
—
010040461CT04
BCBS & BCFP
CT
01
—
040461
CONNECTICARE
CT
01
—
1255448155
GHMC GROUP NPI
CT
01
—
1598304-004
CIGNA
CT
01
—
2V6808
HEALTH NET
CT
01
—
P2655517
OXFORD
CT
Enumeration date
10/04/2005
Last updated
07/09/2007
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