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Individual

DR. STEPHEN CONNER WIDMAN

Active
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Individual

DR. STEPHEN CONNER WIDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
030739
CT
207RI0011X
Interventional Cardiology Physician
Primary
030739
CT
207UN0901X
Nuclear Cardiology Physician
030739
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001307398
CT
01
010030739CT01
ANTHEM BC & BS
CT
01
010130739
CIGNA HEALTH PLANS
CT
01
030739
CONNECTICARE
CT
01
0R0351
HEALTH NET OF NORTHEAST
CT
01
110036141
RAILROAD MEDICARE
CT
05
1346278512
CT
01
4127784
AETNA HEALTH LANS
CT
01
P381955
OXFORD HEALTH PLANS
CT
Enumeration date
06/28/2006
Last updated
03/02/2015
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