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Individual

BRENDA LOUISE APPLEGATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
91 VOLUNTOWN RD, PAWCATUCK, CT 06379-1366
(860) 599-5477
(860) 599-5676
Mailing address
91 VOLUNTOWN RD, PAWCATUCK, CT 06379-1366
(860) 599-5477
(860) 599-5676

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
035827
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001358276
CT
01
010035827CT02
BCBS OF CT ID
CT
01
2V2718
HEALTH NET ID
CT
01
3369438
AETNA HMO ID
CT
01
5051525
AETNA INS ID
CT
01
510427677
COMMERCIAL PLANS ID
CT
01
741490
CONNECTICARE ID
CT
01
P805740
OXFORD ID
CT
Enumeration date
09/15/2006
Last updated
01/19/2013
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