Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 037050 | CT |
NPI | 1033215132 |
---|---|
Provider Name | Dr. Miklos C. Fogarasi |
First Address | Middletown, CT 06457-4712 |
Second Address | Middletown, CT 06457-4712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001370501 | (05) | CT |
010037050CT03 | ANTHEM (01) | CT |
010037050CT03 | BLUE CARE FAMILY PLAN (01) | CT |
0110232502 | RAILROAD MEDICARE (01) | CT |
037050 | CONNECTICARE (01) | CT |
037050 | UNITED HEALTHCARE (01) | |
0V9483 | HEALTHNET (01) | CT |
2543606 | AETNA (01) | |
H32455 | (02) | CT |
P2540745 | OXFORD (01) |