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Individual

HENRY A BACKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2622
Mailing address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2622

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
032983
CT
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
032983
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001329839
CT
01
010031715CT01
ANTHEM BC/BS
CT
01
0V1246
HEALTH NET
CT
01
2065202
AETNA
CT
01
26K532
EMPIRE BC/BS
CT
01
760105
CONNECTICARE
CT
01
TIN
FIRST HEALTH
01
ZS325
OXFORD HEALTH PLANS
CT
Enumeration date
06/18/2006
Last updated
03/27/2017
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