Individual
DR. STEVEN D ANISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 HOSPITAL DR, SUITE 312, BENNINGTON, VT 05201-5009
(802) 442-0800
Mailing address
140 HOSPITAL DR, SUITE 312, BENNINGTON, VT 05201-5009
(802) 442-0800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
211239
MA
207RC0000X
Cardiovascular Disease Physician
042-0011576
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03054166
—
NY
05
—
1015531
—
VT
05
—
2101670
—
MA
01
—
219673-G926
CONNECTICARE
MA
01
—
3613056
CIGNA
MA
01
—
469538
TUFTS HEALTH PLAN
MA
01
—
970036
NETWORK HEALTH
MA
01
—
J27224
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/19/2006
Last updated
03/23/2009
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