Provider Demographics
NPI:1710987755
Name:BABIGIAN, ALAN (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:BABIGIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 FARMINGTON AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1936
Mailing Address - Country:US
Mailing Address - Phone:860-548-7338
Mailing Address - Fax:860-524-2654
Practice Address - Street 1:399 FARMINGTON AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1936
Practice Address - Country:US
Practice Address - Phone:860-548-7338
Practice Address - Fax:860-524-2654
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT039152208200000X, 2082S0099X, 2082S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT06-1406459OtherGREAT-WEST HEALTHCARE
CT06-1406459OtherNORTHEAST HEALTHCARE ALLI
CT2845583OtherAETNA
CT2V1394OtherHEALTH NET
CT001391523Medicaid
CT039152OtherCONNECTICARE
CT06-1406459OtherHMC, PPO
CT06-1406459OtherPIONEER
CT010039152CT01OtherANTHEM BCBS
CT06-1406459OtherCOLONIAL COOPERATIVE CARE
CT06-1406459OtherCORVEL
CT06-1406459OtherFOCUS
CT06-1406459OtherMULTIPLAN
CT061406459OtherUNITED HEALTHCARE
CTP2598877OtherOXFORD
CT30225OtherHEALTH NEW ENGLAND
MA2006774Medicaid
CT8539541 002OtherCIGNA
240000166Medicare ID - Type Unspecified
MA2006774Medicaid