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Individual

HIROYOSHI TAKATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
85 SEYMOUR ST, SUITE 325, HARTFORD, CT 06106-5501
(860) 522-7181
(860) 278-3357
Mailing address
PO BOX 33440, HARTFORD, CT 06150-3440
(860) 522-7181
(860) 278-3357

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
015580
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00155803
CT
01
010015580CT01
ANTHEM BLUECROSS
CT
01
0196966
CIGNA HEALTHPLAN
CT
01
061028513
COMMUNITY HEALTH NTWK
CT
01
071149
CONNECTICARE
CT
01
2008073
AETNA HMO
CT
01
330000473
RAILROAD MEDICARE
CT
01
4125205
AETNA
CT
01
OV7423
HEALTHNET OF NE
CT
01
P1302032
OXFORD HEALTHPLAN
CT
Enumeration date
07/01/2005
Last updated
07/08/2007
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