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Contact Information

ELISA M BENZONI, DO
140 GRANDVIEW AVE
SUITE 202
WATERBURY, CT06708-2505
 Phone: 203-755-2344
 Fax: 203-573-8166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ELISA M BENZONI · (Female)

NPI # 1679581847
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000499
  • CT Other 040000499CT01 ANTHEM FAMILY PLAN #
  • CT Other 040000499CT01 ANTHEM PROVIDER #
  • CT Other 1739548 CIGNA PROVIDER #
  • CT Other 000499 CONNECTICARE PROVIDER #
  • CT Other OV5743 HEALTHNET PROVIDER #
  • CT Other P1012736 OXFORD PROVIDER #
  • CT Other 0740449 UNITED HEALTHCARE #
  • CT Other 2198837 US HEALTHCARE #
  • CT Other 139689 WELLCARE PROVIDER #
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
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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