Individual
JASON R OUELLETTE
Active
Individual
JASON R OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042496
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001424960
—
CT
01
—
010042496CT01
ANTHEM BCBS CT
CT
01
—
042496
CONNECTICARE
CT
01
—
24-50636
AMERICHOICE
CT
01
—
2V5800
HEALTHNET/COMMERCIAL
CT
01
—
3679667/7030649
AETNA
CT
01
—
368650
WELLCARE
CT
01
—
959905
USA
CT
01
—
P3408258
OXFORD
CT
01
—
PENDING
RR MEDICARE
CT
Enumeration date
06/30/2006
Last updated
07/15/2014
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