Individual
CHRISTINE R. DUNBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 755-0163
Mailing address
1211 WEST MAIN STREET, WATERBURY, CT 06708-3346
(203) 755-0163
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000989
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008009482
—
CT
01
—
1064653
USA
CT
01
—
26-33542
AMERICHOICE
CT
01
—
290000989CT03
ANTHEM BCBS CT
CT
01
—
2V9573
HEALTHNET/COMMERCIAL
CT
01
—
357229
WELLCARE
CT
01
—
7061719
AETNA
CT
01
—
98900
CONNECTICARE
CT
01
—
P00359922
RR MEDICARE
CT
01
—
P3412840
OXFORD
CT
Enumeration date
05/04/2006
Last updated
11/18/2020
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