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Individual

DR. KAREN P HAVERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
184 EAST ST, PLAINVILLE, CT 06062-2913
(860) 747-5766
(860) 747-2028
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 747-0730
(860) 747-2028

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
030435
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001304352
CT
01
004196095
GHMC GRP MEDICAID ID
CT
01
010030435CT01
BCBS N BCFP PROV ID
CT
01
01030435
CIGNA PROV ID
CT
01
060025
HEALTH NET PROV ID
CT
01
060916784-042
TRICARE HNFS PROV ID
CT
01
1255448155
GHMC NPI ID
CT
01
135451
WELLCARE MEDICARE
CT
01
3043501
CONNECTICARE PROV ID
CT
01
482028
AETNA PROV ID
CT
01
912397
HEALTH NET REF ID
CT
01
P369881
OXFORD PROV ID
CT
Enumeration date
06/27/2005
Last updated
07/08/2007
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