# PHILIP DEFORD ALLMENDINGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861492241
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | 013482 | CT | — |
| 208600000X | Surgery Physician | 013482 | CT | — |
| 2086S0129X | Vascular Surgery Physician | 013482 | CT | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 013482 | CT | — |

## Other

- **Enumeration date:** 07/28/2005
- **Last updated:** 07/12/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010013482CT05 | ANTHEM BCBS | CT |
| 01 | — | 052338 | CONNECTICARE | CT |
| 01 | — | 0V6080 | HEALTH NET | CT |
| 01 | — | 10143 | HEALTH NEW ENGLAND | CT |
| 01 | — | 1045471 012 | CIGNA | CT |
| 01 | — | 2214494 | AETNA | CT |
| 05 | — | 6191428 | — | MA |
| 01 | — | P1946707 | OXFORD | CT |