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Individual

PHILLIP Y. ROLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 ASYLUM AVE, SUITE 2110, HARTFORD, CT 06105-1770
(860) 714-7945
(860) 714-8880
Mailing address
1000 ASYLUM AVE, SUITE 2109A, HARTFORD, CT 06105-1770
(860) 714-7945
(860) 714-8880

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
046991
CT
207VX0201X
Gynecologic Oncology Physician
ME0080439
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2541920
AETNA PROVIDER NUMBER
FL
05
259334300
FL
01
3503291-002
CIGNA PROVIDER NUMBER
FL
01
35479
BCBS OF FL. PROVIDER #
FL
01
36-00184
UTD. HLTHCR. PROVIDER #
FL
01
5250568
AETNA OTHER PROV. #
FL
01
851882
FIRST HEALTH PROVIDER #
FL
01
920005669
RAILROAD MEDICARE
FL
Enumeration date
09/14/2005
Last updated
11/25/2015
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