Individual
DR. ROBERT M DODENHOFF
Active
Individual
DR. ROBERT M DODENHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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