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Contact Information

EDWARD J WHITE, MD, FACS
146 HAZARD AVE
SUITE 101-B
ENFIELD, CT06082-4571
 Phone: 860-749-2318
 Fax: 860-749-7196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for EDWARD J WHITE · (Male)

NPI Number 1104824788
Status Active
Credentials MD, FACS
Entity Individual
Enumeration date 07/08/2005
Last updated 03/31/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 039210
  • CT Medicaid 001392109
  • CT Other 2991329 AETNA PROVIDER NUMBER
  • CT Other 010039210CT01 ANTHEM BCBS
  • CT Other 00139210900 BLUE CARE FAMILY PLAN
  • CT Other 611419998 CIGNA PROVIDER NUMBER
  • CT Other 611419998 COMMUNITY HEALTH NETWORK
  • CT Other 039210 CONNECTICARE
  • CT Other 611419998 FIRST HEALTH
  • CT Other 2V2766 HEALTH NET
  • CT Other 611419998 NORTHEAST HEALTH DIRECT
  • CT Other P2718117 OXFORD PROVIDER NUMBER
  • CT Other 611419998 PHCS
  • CT Other 611419998 PIONEER HEALTH CARE
  • CT Other 206898 PREFERRED ONE
  • CT Other 611419998 TRICARE
  • CT Other 611419998 UNITED HEALTHCARE
Hospital affiliation(s)
  • 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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