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Individual

JONATHAN ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 797-7379
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 797-7379

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
018828
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010016828CT01
ANTHEM
CT
01
016828
CONNECTICARE
CT
01
044085
HEALTH NET
CT
05
1168287
CT
01
1510796
NYS MEDICAID
NY
01
182308
AETNA US HEALTHCARE
CT
01
353711
EMPIRE BCBS
NY
01
480340
CIGNA
CT
01
P431828
OXFORD
CT
Enumeration date
06/16/2006
Last updated
07/08/2007
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