Provider Demographics
NPI:1639245269
Name:VOYTOVICH, JULIA H (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:H
Last Name:VOYTOVICH
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 1:173 EAST AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840
Mailing Address - Country:US
Mailing Address - Phone:203-972-4255
Mailing Address - Fax:203-972-6345
Practice Address - Street 1:173 EAST AVENUE
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840
Practice Address - Country:US
Practice Address - Phone:203-972-4255
Practice Address - Fax:203-972-6345
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT035432207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00002021653OtherUHC
2623106OtherCIGNA
5678187OtherAETNA
P409591OtherOXFORD
00135432301OtherHUSKEY
010035432CT02OtherANTHEM BC
5678187OtherAETNA
00135432301OtherHUSKEY