Individual
DR. ROBERT M DODENHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 832-8150
(860) 224-6298
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 832-8150
(860) 224-6298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028303
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001283035
—
CT
05
—
004215324
—
CT
01
—
010028303CT01
BCBS PROVIDER ID
CT
01
—
01028303
CIGNA PROVIDER ID
CT
01
—
02830301
CONNECTICARE ID
CT
01
—
060080
HEALTH NET PROVIDER ID
CT
01
—
1255448155
GHMC GRP NPI ID
CT
01
—
477150
AENTA PROVIDER ID REF
CT
01
—
912613
HEALTH NET REF ID
CT
01
—
P369832
OXFORD PROVIDER ID
CT
Enumeration date
06/01/2005
Last updated
07/09/2007
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