Individual
DR. EARLE J SITTAMBALAM
Active
Individual
DR. EARLE J SITTAMBALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
016540
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001165406
—
CT
05
—
004214483
—
CT
01
—
010016540CT01
BCBS & BCFP PROV ID
CT
01
—
01016540
CIGNA
CT
01
—
060036
HEALTH NET
CT
01
—
1255448155
GHMC GROUP NPI ID
CT
01
—
135725
WELLCARE MEDICARE
CT
01
—
442111236
RAIL ROAD MEDICARE
CT
01
—
476899
AETNA
CT
01
—
5321501
CONNECTICARE
CT
01
—
P369700
OXFORD
CT
Enumeration date
09/27/2005
Last updated
07/09/2007
Update your record
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