Individual
ELISA M BENZONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
140 GRANDVIEW AVE, SUITE 202, WATERBURY, CT 06708-2505
(203) 755-2344
(203) 573-8166
Mailing address
140 GRANDVIEW AVE, SUITE 202, WATERBURY, CT 06708-2505
(203) 755-2344
(203) 573-8166
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
000499
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000499
CONNECTICARE PROVIDER #
CT
01
—
040000499CT01
ANTHEM FAMILY PLAN #
CT
01
—
0740449
UNITED HEALTHCARE #
CT
01
—
139689
WELLCARE PROVIDER #
CT
01
—
1739548
CIGNA PROVIDER #
CT
01
—
2198837
US HEALTHCARE #
CT
01
—
OV5743
HEALTHNET PROVIDER #
CT
01
—
P1012736
OXFORD PROVIDER #
CT
Enumeration date
08/04/2006
Last updated
07/08/2007
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