Provider Demographics
NPI:1487698866
Name:LIPPMAN, NEAL (MD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:
Last Name:LIPPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 ASYLUM AVE
Mailing Address - Street 2:SUITE 3206
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1770
Mailing Address - Country:US
Mailing Address - Phone:860-714-7977
Mailing Address - Fax:860-714-9993
Practice Address - Street 1:1000 ASYLUM AVE
Practice Address - Street 2:SUITE 3206
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1770
Practice Address - Country:US
Practice Address - Phone:860-714-7977
Practice Address - Fax:860-714-9993
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT032896207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
010032896CT02OtherBLUE CROSS & BLUE SHIELD
0400393002OtherCIGNA HEALTH PLANS
1239206OtherUNITED HEALTHCARE
HAS260OtherOXFORD HEALTH PLANS
328960OtherCONNECTICARE
0V6121OtherHEALTHNET
2262191OtherAETNA HEALTH PLANS
HAS260OtherOXFORD HEALTH PLANS