Individual
MICHAEL E BLEFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
495 GOLD STAR HWY, SUITE 120, GROTON, CT 06340-6228
(860) 449-8882
(860) 449-9195
Mailing address
495 GOLD STAR HWY, SUITE 120, GROTON, CT 06340-6228
(860) 449-8882
(860) 449-9195
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22070
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001220706
—
CT
01
—
010022070CT01
BLUE CROSS BLUE SHIELD
—
01
—
031502
HEALTH NET
—
01
—
1416771-005
CIGNA
—
01
—
4205040
AETNA
—
01
—
620293
CONNECTICARE
—
01
—
NLP064
OXFORD
—
Enumeration date
11/13/2006
Last updated
12/29/2008
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