Individual
PHILIP DEFORD ALLMENDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 SEYMOUR ST, STE 911, HARTFORD, CT 06106-5501
(860) 522-4158
(860) 524-2652
Mailing address
85 SEYMOUR ST, STE 911, HARTFORD, CT 06106-5501
(860) 522-4158
(860) 524-2652
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
013482
CT
208600000X
Surgery Physician
013482
CT
2086S0129X
Vascular Surgery Physician
Primary
013482
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
013482
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010013482CT05
ANTHEM BCBS
CT
01
—
052338
CONNECTICARE
CT
01
—
0V6080
HEALTH NET
CT
01
—
10143
HEALTH NEW ENGLAND
CT
01
—
1045471 012
CIGNA
CT
01
—
2214494
AETNA
CT
05
—
6191428
—
MA
01
—
P1946707
OXFORD
CT
Enumeration date
07/28/2005
Last updated
07/12/2007
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