Individual
MICHAEL PACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT ANESTHESIA ASSOCIATES, P.C., BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
7365 MAIN ST, BRIDGEPORT ANESTHESIA ASSOCIATES, P.C., STRATFORD, CT 06614-1300
(203) 384-3174
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22889
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060855634003E011
CIGNA CT
CT
05
—
1228891
—
CT
01
—
2889
CONNECTICARE
CT
01
—
4402597
AETNA CT
CT
01
—
500HBA011CT01
BCBS CT
CT
01
—
95012
HEALTH NET
CT
01
—
A770995
OXFORD HEALTH PLANS
CT
01
—
CHN1086
COMMUNITY HEALTH NETWORK
CT
Enumeration date
07/20/2006
Last updated
10/27/2009
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