Individual
MR. UWE C. KOEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
57 NORTH ST, SUITE # 309-310, DANBURY, CT 06810-5660
(203) 794-0761
(203) 731-5399
Mailing address
57 NORTH ST, SUITE # 309-310, DANBURY, CT 06810-5660
(203) 794-0761
(203) 731-5399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
020505
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001205053
—
CT
01
—
010020505CT01
BC/BC
CT
01
—
040701
HEALTHNET
CO
01
—
4263864
AETNA
CT
01
—
720505
CONNECTICARE
CT
01
—
ZP183
OXFORD
CT
Enumeration date
09/22/2005
Last updated
10/03/2007
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