Individual
DR. MARK A THIMINEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 DIVISION ST, 1ST FLOOR, DERBY, CT 06418
(203) 732-1570
(203) 732-1576
Mailing address
130 DIVISION ST, 1ST FLOOR, DERBY, CT 06418
(203) 732-1570
(203) 732-1576
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
033132
CT
208VP0014X
Interventional Pain Medicine Physician
Primary
033132
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001331321
—
CT
01
—
00133132101
BLUECARE FAMILY PLAN
CT
01
—
010033132CT02
BLUE CROSS BLUE SHIELD
CT
01
—
0V0370
HEALTHNET
CT
01
—
223514271
HMC/PPO
CT
01
—
3149086006
CIGNA
CT
01
—
4569760
AETNA
CT
01
—
764977
CONNECTICARE
CT
01
—
A752119
OXFORD
CT
01
—
HEALTH CONNECTICUT P
223514271
CT
Enumeration date
06/09/2006
Last updated
07/09/2010
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