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Contact Information

ROLAND J GRAYDON, MD
85 SEYMOUR ST
SUITE 416
HARTFORD, CT06106-5501
 Phone: 860-947-8500
 Fax: 860-524-8643
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for ROLAND J GRAYDON · (Male)

NPI Number 1659363075
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2005
Last updated 03/29/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 015005
  • CT Medicaid 001150051
  • MA Medicaid 3164870
  • CT Other 2054764 AETNA
  • CT Other 010015005CT01 ANTHEM BCBS
  • CT Other 4915512 001 CIGNA
  • CT Other 06-1406459 COLONIAL COOPERATIVE CARE
  • CT Other 06-1406459 COMMUNITY HEALTH NETWORK
  • CT Other 076049 CONNECTICARE
  • CT Other 06-1406459 CORVEL
  • CT Other 06-1406459 FOCUS
  • CT Other 06-1406459 GREAT-WEST HEALTHCARE
  • CT Other 0S0306 HEALTH NET
  • CT Other 12739 HEALTH NEW ENGLAND
  • CT Other 06-1406459 HMC, PPO
  • CT Other 06-1406459 MULTIPLAN
  • CT Other 06-1406459 NORTHEAST HEALTH DIRECT
  • CT Other P1096767 OXFORD
  • CT Other 06-1406459 PRIVATE HEALTHCARE SYSTEM
  • CT Other 06-1406459 TRICARE
  • CT Other 06-1406459 UNITED HEALTHCARE
  • CT Other 342585 WELLCARE
Hospital affiliation(s) Not Available
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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