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Contact Information

ROBERT W ELWELL JR, MD
22 MASONIC AVE.
1ST FLR
WALLINGFORD, CT06492
 Phone: 203-679-5900
 Fax: 203-679-6873
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROBERT W ELWELL JR · (Male)

NPI Number 1366439036
Status Active
Credentials MD
Entity Individual
Enumeration date 09/28/2005
Last updated 01/20/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 21753
  • CT Medicaid 1217538
  • CT Other 4239676 AETNA
  • CT Other 010021753CT01 ANTHEM BC OF CT
  • CT Other 061043813002 CIGNA
  • CT Other 021753 CONNECTICARE
  • CT Other OR4598 HEALTH NET
  • CT Other P400371 OXFORD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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