Individual
DR. CHARLES ROBERT RETHY
Active
Individual
DR. CHARLES ROBERT RETHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019353
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010019353CT01
BLUE CROSS BLUE SHIELD
CT
01
—
0Q2054
HEALTHNET
CT
01
—
110167932
RAILROAD MEDICARE
CT
01
—
193530
CONNECTICARE
CT
01
—
2047262
AETNA
CT
01
—
NHP062
OXFORD
CT
Enumeration date
07/13/2005
Last updated
01/30/2013
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