Provider Demographics
NPI:1437143617
Name:BARTUS, CHRISTINE MARIE (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIE
Last Name:BARTUS
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 1:40 HART ST
Mailing Address - Street 2:BUILDING C
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1743
Mailing Address - Country:US
Mailing Address - Phone:860-229-8889
Mailing Address - Fax:860-229-8893
Practice Address - Street 1:40 HART ST
Practice Address - Street 2:BUILDING C
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1743
Practice Address - Country:US
Practice Address - Phone:860-229-8889
Practice Address - Fax:860-229-8893
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042778208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2111675Medicaid
CTP3608587OtherOXFORD
CT010042778CT01OtherANTHEM BCBS
CT3966592OtherAETNA
CT6309981OtherCIGNA
CT042778OtherCONNECTICARE
CT2V6543OtherHEALTH NET
CT36401OtherHEALTH NEW ENGLAND
CTP3608587OtherOXFORD
MA2111675Medicaid