Individual
DR. EUGENE SAPOZHNIKOV
Active
Individual
DR. EUGENE SAPOZHNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
038561
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001385617
—
CT
01
—
010038561CT01
BLUE CROSS
CT
Enumeration date
04/20/2006
Last updated
12/06/2012
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