Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 046129 | CT |
N | 208600000X | Surgeon | 046129 | CT |
Y | 2086S0129X | Vascular Surgeon | 046129 | CT |
NPI | 1083859649 |
---|---|
Provider Name | Thomas V Divinagracia |
First Address | Hartford, CT 06106 |
Second Address | Hartford, CT 06106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2008 |
Last Update Date | 29/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
046129 | CONNECTICARE (01) | CT |
061406459 | PRIVATE HEALTHCARE SYSTEMS (01) | CT |
06-1406459 | COMMUNITY HEALTH NETWORK (01) | CT |
06-1406459 | CORVEL (01) | CT |
06-1406459 | GREAT-WEST HEALTHCARE (01) | CT |
06-1406459 | MULTIPLAN (01) | CT |
06-1406459 | NORTHEAST HEALTH DIRECT (01) | CT |
06-1406459 | PIONEER (01) | CT |
06-1406459 | TRICARE (01) | CT |
06-1406459 | UNITED HEALTHCARE (01) | CT |
1083859649 | (05) | CT |
1083859649 | AETNA (01) | CT |
1083859649 | ANTHEM BCBS (01) | CT |
3V3712 | HEALTH NET (01) | CT |
46286 | HEALTH NEW ENGLAND (01) | CT |
508455 | WELLCARE (01) | CT |
7299062 | CIGNA (01) | CT |
P4028934 | OXFORD (01) | CT |