Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 26705 | CT |
NPI | 1003995796 |
---|---|
Provider Name | Dr. Glenn Edward Ostriker |
First Address | Stamford, CT 06902-2757 |
Second Address | Stamford, CT 06902-2757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 08/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001267053 | (05) | CT |
010026705CT01 | ANTHEM BC/BS (01) | CT |
26705 | LICENSE (01) | CT |
2V2621 | HEALTHNET (01) | CT |
4304779 | AETNA (01) | CT |
526705 | CONNECTICARE (01) | CT |
6611458 | CIGNA (01) | CT |
B17897 | (02) | CT |
ZS547 | OXFORD (01) | CT |