Michael E Dobson, M.D.
Individual provider Active NPI Infectious Disease Physician · New London, CT
NPI 1790798783 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1790798783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 037693 (CT)
- Practice address
- 365 Montauk Ave
New London, CT 06320-4700 - Phone
- (860) 442-0711
- Fax
- (860) 443-1817
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Specialists of Southeastern Connecticut, Inc. | Infectious Disease | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 037693 | CT | Yes |
Addresses
Primary practice location
365 Montauk Ave
New London, CT 06320-4700
Mailing address
365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4024972 | Medicaid | CT | |
| 37693CT02 | Other | ANTEM BLUE CROSS | |
| P2409395 | Other | OXFORD | |
| 440003877 | Other | MEDICARE RAILROAD | |
| 7940173006 | Other | CIGNA | |
| 4014679 | Medicaid | CT | |
| 1376939 | Other | CLINIC NUMBER | |
| 3328993 | Other | AETNA | |
| 766546 | Other | CONNECTICARE | |
| OV5386 | Other | HEALTH NET |
Other providers in New London, CT
- Digestive Disease Associates
- Barbara Dinoia
- Sasha Discuillo
- Divine Mind Therapy
- Elizabeth Lynn Dmowski
- Amanda Jaylyn Dodd
- Hartmut A Doerwaldt
- Lauren Marcus Doherty
- Patrick F Doherty
- Joann Donnel
All providers in New London, CT · Infectious Disease Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.