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Individual

PAMELA REESER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3 ENTERPRISE DR STE 220, SHELTON, CT 06484-4694
(203) 696-6125
(203) 696-6130
Mailing address
3 ENTERPRISE DR STE 220, SHELTON, CT 06484-4694
(203) 696-6125
(203) 696-6130

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
024945
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001249459
CT
01
001249459-P2
BLUE CARE FAMILY PLAN
CT
01
0086989
AETNA CT
CT
01
061613357
CIGNA CT
CT
01
2069098
UNITED HEALTHCARE
CT
01
300128150
RAILROAD MEDICARE
CT
01
500HBX051CT01
BCBS CT
CT
01
ANC1162
OXFORD HEALTH PLANS
CO
01
OV9113
HEALTH NET
CT
Enumeration date
09/20/2005
Last updated
03/02/2017
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