Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 050753 | CT |
N | 208200000X | Surgeon | 050753 | CT |
N | 208600000X | Surgeon | 050753 | CT |
NPI | 1851521777 |
---|---|
Provider Name | Caroline Rochon |
First Address | Hartford, CT 06106 |
Second Address | Hartford, CT 06106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2009 |
Last Update Date | 21/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
061200871 | UNITED HEALTHCARE (01) | CT |
1851521777 | (05) | CT |