Basic Information
| Provider Information | |||||||||
| NPI: | 1760482194 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUNCAN | ||||||||
| FirstName: | BRETT | ||||||||
| MiddleName: | HUNTER | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 RETREAT AVE | ||||||||
| Address2: | |||||||||
| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061062528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605225712 | ||||||||
| FaxNumber: | 8605204270 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 RETREAT AVE | ||||||||
| Address2: | |||||||||
| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061062528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605225712 | ||||||||
| FaxNumber: | 8605204270 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2005 | ||||||||
| LastUpdateDate: | 05/26/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 036868 | CT | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | P12038232 | 01 | CT | MULTIPLAN ID# | OTHER | 010036868CT02 | 01 | CT | ANTHEM BCBS ID# | OTHER | 0368680446 | 01 | CT | CONNECTICARE ID# | OTHER | 25679 | 01 | CT | HEALTH NEW ENGLAND ID# | OTHER | 8531454002 | 01 | CT | CIGNA HEALTH ID# | OTHER | OV5811 | 01 | CT | HEALTHNET ID# | OTHER | P2406333 | 01 | CT | OXFORD ID# | OTHER | 001368689 | 05 | CT | MEDICAID | 2299401 | 01 | CT | AETNA ID# | OTHER |