Provider Demographics
NPI:1427044569
Name:MAUKS, ANNE E (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:E
Last Name:MAUKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 NORTH ST
Mailing Address - Street 2:SUITE # 311
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5660
Mailing Address - Country:US
Mailing Address - Phone:203-743-0100
Mailing Address - Fax:203-794-1851
Practice Address - Street 1:57 NORTH ST
Practice Address - Street 2:SUITE # 311
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5660
Practice Address - Country:US
Practice Address - Phone:203-743-0100
Practice Address - Fax:203-794-1851
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT016820207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP808083OtherOXFORD
CT001168202Medicaid
CT010016820CT01OtherBC/BS
CT168200OtherCONNECTICARE
CT040019OtherHEALTHNET
CT4283731OtherAETNA
CT4283731OtherAETNA
CT001168202Medicaid