Dorothea Wild in Derby - Internal Medicine

Dorothea Wild - NPI 1912989187

Dorothea Wild is a Internal Medicine in Derby, Connecticut. Dorothea Wild practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Dorothea Wild is 1912989187. The last update date is 2010-12-15.

Dorothea Wild's current location address is 130 Division St, Derby, Connecticut. You can contact this provider via phone number 2037327325 and fax number 2037321539. The mailing address for Dorothea Wild is 130 Division St, Derby, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Dorothea Wild
Address 130 Division St, Derby, Connecticut
Phone Number 2037327325
Fax Number 2037321539
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1912989187
Provider Enumeration Date 2005-11-15
Last Updated Date 2010-12-15

Provider Mailing Address Detail

Address 130 Division St
City Derby
State Connecticut (CT)
Post Code 64181326
Phone Number 2037327325
Fax Number 2037321539

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 40387
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Dorothea Wild

What is the unique identifier code issued to Dorothea Wild by the Centers for Medicare & Medicaid Services?

The Dorothea Wild has been assigned the NPI (National Provider Identifier) 1912989187. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Dorothea Wild?

The Dorothea Wild is physically situated at 130 Division St, in the city of Derby, state of CT, with the postal code 64181326.

What is the area of specialization for Dorothea Wild, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dorothea Wild is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did the Dorothea Wild receive the assignment of its 1912989187 from the Centers for Medicare & Medicaid Services?

The Dorothea Wild was issued its 1912989187 by the Centers for Medicare & Medicaid Services on 2005-11-15.

As of what date were the details pertaining to Dorothea Wild last refreshed?

The information related to the Dorothea Wild, including its address, specialty, and other relevant details, was last updated on 2010-12-15.

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