Individual
BENJAMIN R DOOLITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
040298
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001402982
—
CT
01
—
010040298CT02
ANTHEM BCBS CT
CT
01
—
204233
WELLCARE
CT
01
—
22-63711
UHC
CT
01
—
3002255/7672443
AETNA
CT
01
—
904726
USA
CT
01
—
P00256868
RAILROAD MEDICARE
CT
Enumeration date
11/22/2005
Last updated
07/14/2014
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