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Contact Information

JOHN RODGERS, MD
27 SYCAMORE ST
STE 100, PRIME HEALTHCARE
GLASTONBURY, CT06033-2223
 Phone: 860-659-0581
 Fax: 860-652-3077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN RODGERS · (Male)

NPI # 1588641112
Status Active
Credentials MD
Entity Individual
Enumeration date 12/23/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 021188
  • CT Medicaid 001211887
  • CT Other 010021188CT01 BCBS
  • CT Other 021188 MEDICAL LICENSE
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
  • ST FRANCIS HOSPITAL & MEDICAL CENTER - (Acute Care)
    114 WOODLAND STREET
    HARTFORD, CT 06105
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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