Individual
ROSS G UTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
134 GRANDVIEW AVE, WATERBURY, CT 06708-2507
(203) 756-8911
(203) 574-0548
Mailing address
134 GRANDVIEW AVE, WATERBURY, CT 06708
(203) 756-8911
(203) 574-0548
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001124
CT
363AS0400X
Surgical Physician Assistant
001124
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290001124CT02
ANTHEM
—
01
—
51124
AIM
—
01
—
711609
CTCARE
—
01
—
A437740
OXFORD
—
01
—
OR0365
AETNA HEALTHNET
—
Enumeration date
04/28/2006
Last updated
01/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us