Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 043835 | CT |
N | 207QA0505X | Family Doctor - Adult Medicine | 043835 | CT |
N | 207R00000X | Internist | 043835 | CT |
N | 111NI0900X | Internist | 043835 | CT |
NPI | 1114997665 |
---|---|
Provider Name | Dr. Antonio Paz |
First Address | Danbury, CT 06810-6099 |
Second Address | Danbury, CT 06810-6099 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 21/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001438359 | (05) | CT |
010043835CT01 | ANTHEM B/C (01) | CT |
043835 | CONNECTICARE (01) | CT |
1121403 | AETNA (01) | CT |
2606317 | UHC (01) | CT |
2V7151 | HEALTHNET (01) | CT |
I46962 | (02) | |
P3654504 | OXFORD (01) | CT |