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Contact Information

THOMAS C BANEVER, MD
100 RETREAT AVE
SUITE 808
HARTFORD, CT06106-2528
 Phone: 860-249-9189
 Fax: 860-249-9180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THOMAS C BANEVER · (Male)

NPI # 1992799498
Status Active
Credentials MD
Entity Individual
Enumeration date 09/12/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 016245
  • CT Medicaid 00162452
Hospital affiliation(s)
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
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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