Individual
DR. ELLEN GAIL NEUHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 UNION ST, VERNON, CT 06066-3025
(860) 872-5158
(860) 872-5626
Mailing address
145 UNION STREET, ROCKVILLE, CT 06066-3025
(860) 872-5158
(860) 872-5626
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
22060
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001220607-CL
BLUE CARE FAMILY
CT
01
—
010022060CT03
ANTHEM
CT
01
—
022060
CONNECTICARE
CT
05
—
4025029
—
CT
05
—
4041729
—
CT
01
—
6809580-002
CIGNA
CT
01
—
P2389276
OXFORD
CT
Enumeration date
03/17/2006
Last updated
10/06/2016
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