Individual
DR. JAMES E. HASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 DIVISION ST, LABORATORY, GRIFFIN HOSPITAL, DERBY, CT 06418-1326
(203) 732-7284
Mailing address
11 GREYSTONE FARM LN, WESTPORT, CT 06880-2750
(203) 227-7665
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
031543
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001315432
—
CT
01
—
001315432P1
BLUE CARE FAMILY PLAN
CT
01
—
13429870
TRICARE IND. PROV. #
CT
01
—
220009479
RAILROAD MEDICARE #
CT
Enumeration date
02/03/2007
Last updated
07/08/2007
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