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Individual

DR. DAVID KEITH EMMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24341
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001243419
CT
01
010024341CT01
BLUE CROSS
CT
01
0243410
CONNECTICARE
CT
01
052156
HEALTHNET
CT
01
0811678
AETNA
CT
01
P2043695
OXFORD
CT
Enumeration date
09/16/2006
Last updated
02/02/2022
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