Active NPIIndividual providerSole proprietor

Michael E Blefeld, MD

Pediatrics in Groton, Connecticut

NPI Number1104997923
Practice location
495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228
Fax
860-449-9195
Last updated
December 29, 2008

Michael E Blefeld is a Pediatrics based in Groton, CT. Michael E Blefeld practices in Groton, CT and has the professional credentials of MD. The NPI Number for Michael E Blefeld is 1104997923 and holds a License No. 22070 (CT). The current practice location address for Michael E Blefeld is 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 and can be reached out via phone at 860-449-8882 and via fax at 860-449-9195.

Provider Profile Details

NPI Number
1104997923
Provider Name
Michael E Blefeld
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228
Phone Number
860-449-8882
Fax Number
860-449-9195
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
November 13, 2006
Last Update Date
December 29, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
495 Gold Star Hwy
Suite 120
Groton, CT 06340-6228
City
Groton
Zip
06340-6228
Phone Number
860-449-8882
Fax Number
860-449-9195
Groton, CT 06340Get directions →

Provider Business Mailing Address Details

Address
495 Gold Star Hwy
Suite 120
Groton, CT 06340-6228
City
Groton
State
CT
Zip
06340-6228
Phone Number
860-449-8882
Fax Number
860-449-9195

License Information

License Number
22070
License State
CT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael E Blefeld, MD?

The NPI number of Michael E Blefeld, MD is 1104997923. It was assigned on November 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael E Blefeld, MD?

Michael E Blefeld, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 22070.

Where does Michael E Blefeld, MD practice?

The practice location is 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228. The office can be reached at 860-449-8882 (phone) or 860-449-9195 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104997923 directly on the NPPES registry website.

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