Provider Demographics
NPI:1821085093
Name:STOCK, ALDEN L (MD)
Entity Type:Individual
Prefix:DR
First Name:ALDEN
Middle Name:L
Last Name:STOCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:300 KENSINGTON AVE
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-224-2631
Mailing Address - Fax:860-223-4117
Practice Address - Street 1:292 W MAIN ST
Practice Address - Street 2:GROVE HILL MEDICAL CENTER
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06052-1321
Practice Address - Country:US
Practice Address - Phone:860-224-2631
Practice Address - Fax:860-223-4117
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT023669207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP369874OtherOXFORD
CT7734101OtherCONNECTICARE
CT010023669CT08OtherBCBS & BCFP ID SOUTHINGTO
CT01023669OtherCIGNA
CT040009338OtherRAIL ROAD MEDICARE
CT481716OtherAETNA
CT001236694Medicaid
CT135482OtherWELLCARE MEDICARE
CT010023669CT07OtherBCBS & BCFP ID NEW BRITAI
CT060092OtherHEALTH NET
CT004214813Medicaid
CT1255448155OtherGHMC GROUP NPI ID
CT001236694Medicaid
CTP369874OtherOXFORD
CT060092OtherHEALTH NET