Provider Demographics
NPI:1154417293
Name:DRUGGE, RHETT JAMES (MD)
Entity type:Individual
Prefix:MR
First Name:RHETT
Middle Name:JAMES
Last Name:DRUGGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:50 GLENBROOK RD
Mailing Address - Street 2:UNIT 1C
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2914
Mailing Address - Country:US
Mailing Address - Phone:203-324-5719
Mailing Address - Fax:203-323-7485
Practice Address - Street 1:50 GLENBROOK RD
Practice Address - Street 2:UNIT 1C
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2914
Practice Address - Country:US
Practice Address - Phone:203-324-5719
Practice Address - Fax:203-323-7485
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT032482207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010032482CT01OtherANTHEM BCBS
CT020059OtherHEALTH NET
CT010032482CT01OtherANTHEM BCBS