Individual
DR. PAUL DEAN DEMARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 KINGS HWY E, SUITE 112, FAIRFIELD, CT 06825-4867
(203) 382-1900
(203) 382-0019
Mailing address
501 KINGS HWY E, FAIRFIELD, CT 06825-4867
(203) 382-1900
(203) 382-0019
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
024378
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001243781
—
CT
01
—
010024378CT01
ANTHEM BLUE CROSS
CT
01
—
0V5159
HEALTH NET
CT
01
—
524378
CONNECTICARE
CT
01
—
ZS218
OXFORD
CT
Enumeration date
06/05/2006
Last updated
06/27/2019
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