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Individual
DR. ROBERT F DIBBLE
Active
Individual
DR. ROBERT F DIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
030376
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001303768
—
CT
05
—
004215415
—
CT
01
—
010030376CT01
ANTHEM PROVIDER #
CT
01
—
0122742
AETNA PROVIDER #
CT
01
—
050058
HEALTHNET PROVIDER ID
CT
01
—
08-04978
UNITED HEALTHCARE ID#
CT
01
—
799860
CONNECTICARE PROV #
CT
01
—
WIS003
OXFORD PROVIDER #
CT
Enumeration date
07/03/2006
Last updated
10/17/2008
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