Individual
RUSSELL A CIAFONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
66 HIGHRIDGE RD, WEST SIMSBURY, CT 06092-2004
(860) 651-4272
Mailing address
66 HIGHRIDGE RD, WEST SIMSBURY, CT 06092-2004
(860) 651-4272
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
019512
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001195122
—
CT
01
—
00119512204
ANTHEM BCBS
—
01
—
010019512CT01
ANTHEM BCBS
—
01
—
060052202
RAILROAD MEDICARE
—
01
—
2083482
AETNA
—
01
—
728452
CONNECTICARE
CT
01
—
HAS619
OXFORD
CT
01
—
OV4110
HEALTH NET
CT
Enumeration date
08/30/2005
Last updated
07/25/2019
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