Individual
ALI VAEZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
040741
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001407411
—
CT
01
—
010040741CT02
ANTHEM BCBS CT
CT
01
—
040741
CONNECTICARE
CT
01
—
220133
WELLCARE
CT
01
—
23-33843
UHC
CT
01
—
2V1459
HEALTHNET/COMMERCIAL
CT
01
—
3408207/7603504
AETNA
CT
01
—
912708
USA
CT
01
—
P2978576
OXFORD
CT
01
—
PENDING
RR MEDICARE
CT
Enumeration date
12/28/2005
Last updated
10/29/2021
Update your record
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