Individual
DR. SCOTT R SERELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 ELMCREST TER, NORWALK, CT 06850-3937
(203) 853-4200
(203) 299-1938
Mailing address
12 ELMCREST TER, NORWALK, CT 06850-3937
(203) 853-4200
(203) 299-1938
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
037477
CT
208800000X
Urology Physician
037477
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001374777
—
CT
01
—
010037477CT01
ANTHEM BC BS
CT
01
—
0684829002
CIGNA
CT
01
—
0V5091
HEALTHNET
CT
01
—
340017119
RAILROAD MEDICARE
CT
01
—
5527626
AETNA
CT
01
—
765504
CONNECTICARE
CT
01
—
P1259371
OXFORD
CT
Enumeration date
09/28/2006
Last updated
05/28/2013
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