Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 004732 | CT |
NPI | 1427083468 |
---|---|
Provider Name | Dr. Ronald B. Herriott |
First Address | Bristol, CT 06010-3901 |
Second Address | Bristol, CT 06010-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0045351 | US HEALTHCARE (01) | CT |
0045704 | AETNA (01) | CT |
00844450 | UNITED CONCORDIA (01) | CT |
0194341-003 | CIGNA HEALTHPLAN (01) | CT |
020004732CT01 | ANTHEM (01) | CT |
25186 | M.D. HEALTHPLAN (01) | CO |
770135 | CONNECTICARE (01) | CT |
HAS084 | OXFORD HEALTHPLAN (01) | CT |
OV1955 | HEALTHNET (01) | CT |
T23877 | (02) | CT |