Individual
ROLAND JAMES GRAYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, SUITE 416, HARTFORD, CT 06106-5501
(860) 947-8500
(860) 524-8643
Mailing address
85 SEYMOUR ST, SUITE 416, HARTFORD, CT 06106-5501
(860) 947-8500
(860) 524-8643
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
015005
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001150051
—
CT
01
—
010015005CT01
ANTHEM BCBS
CT
01
—
06-1406459
PRIVATE HEALTHCARE SYSTEM
CT
01
—
076049
CONNECTICARE
CT
01
—
0S0306
HEALTH NET
CT
01
—
12739
HEALTH NEW ENGLAND
CT
01
—
2054764
AETNA
CT
05
—
3164870
—
MA
01
—
342585
WELLCARE
CT
01
—
4915512 001
CIGNA
CT
01
—
P1096767
OXFORD
CT
Enumeration date
08/22/2005
Last updated
03/29/2011
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