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Contact Information

MARK A THIMINEUR, MD
130 DIVISION ST
1ST FLOOR
DERBY, CT06418
 Phone: 203-732-1570
 Fax: 203-732-1576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MARK A THIMINEUR · (Male)

NPI Number 1336180314
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 07/09/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 033132
  • CT Medicaid 001331321
  • CT Other HEALTH CONNECTICUT P 223514271
  • CT Other 4569760 AETNA
  • CT Other 010033132CT02 BLUE CROSS BLUE SHIELD
  • CT Other 00133132101 BLUECARE FAMILY PLAN
  • CT Other 223514271 CHN
  • CT Other 3149086006 CIGNA
  • CT Other 764977 CONNECTICARE
  • CT Other 0V0370 HEALTHNET
  • CT Other 223514271 HMC/PPO
  • CT Other 223514271 MASHANTUCKET
  • CT Other A752119 OXFORD
  • CT Other 223514271 UNITED HEALTHCARE
Hospital affiliation(s)
  • GRIFFIN HOSPITAL - (Acute Care)
    130 DIVISION ST
    DERBY, CT 06418
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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