Individual
DENNIS M. RODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 755-0163
(203) 753-3415
Mailing address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 755-0163
(203) 753-3415
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
040418
CT
207X00000X
Orthopaedic Surgery Physician
040418
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
040418
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001404186
—
CT
01
—
010040418CT01
ANTHEM BCBS
CT
01
—
040418
CONNECTICARE
CT
01
—
2522042
UNITED HC
CT
01
—
2V2068
HEALTHNET
CT
01
—
P2679357
OXFORD
CT
Enumeration date
09/25/2006
Last updated
03/25/2008
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