Provider Demographics
NPI:1144212887
Name:HUSKINS, DENNIS G (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:G
Last Name:HUSKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 CROSS ST
Mailing Address - Street 2:4TH FL
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4647
Mailing Address - Country:US
Mailing Address - Phone:203-845-2000
Mailing Address - Fax:203-845-2002
Practice Address - Street 1:40 CROSS ST
Practice Address - Street 2:4TH FL
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4647
Practice Address - Country:US
Practice Address - Phone:203-845-2000
Practice Address - Fax:203-845-2002
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT018695207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT021037OtherHEALTH NET
CT1216307OtherUNITED HEALTHCARE
CT4388573OtherAETNA
CTZP603OtherOXFORD HEALTH PLANS
CT00118695600OtherBLUE CARE FAMILY PLAN
CT0021028-002OtherCIGNA HEALTHCARE
CT186950OtherCONNECTICARE
CT1186956Medicaid
CT010018695CT01OtherANTHEM BC/BS
CTE15273Medicare UPIN