Individual
MICHAEL PACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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