Individual
DR. ALEXANDER VDOVENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5584
(860) 224-5946
Mailing address
PO BOX 1730, NEW HAVEN, CT 06507-1730
(203) 397-8000
(203) 389-1540
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
39677
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007210291
AETNA USHC
CT
05
—
001396771
—
CT
01
—
004199057P1
BLUE CARE NBG GRP#
CT
01
—
004199057P2
BLUE CARE BMH GRP#
CT
01
—
061557734
OXFORD GROUP#
CT
01
—
0V6399
HEALTHNET GROUP#
CT
01
—
1104295
UNITED HEALTHCARE GRP#
CT
01
—
500HBL433CT01
BC/BS NBG GRP#
CT
01
—
500HBL433CT02
BC/BS BMH GRP#
CT
01
—
615577
CONNECTICARE GRP#
CT
01
—
9094684
CIGNA
CT
Enumeration date
05/03/2006
Last updated
12/04/2018
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