Montgomery B Douglas, MD
Family Medicine in Farmington, Connecticut
1114120839- Practice location
- Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001
- Phone
- 860-679-4477
- Fax
- 860-679-4474
- Last updated
- July 15, 2016
Montgomery Bernard Douglas is a Family Medicine based in Farmington, CT. Montgomery Bernard Douglas practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Montgomery Bernard Douglas is 1114120839 and holds a License No. 171089 (NY). The current practice location address for Montgomery Bernard Douglas is Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001 and can be reached out via phone at 860-679-4477 and via fax at 860-679-4474.
Provider Profile Details
- NPI Number
- 1114120839
- Provider Name
- Montgomery Bernard Douglas
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001
- Phone Number
- 860-679-4477
- Fax Number
- 860-679-4474
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 8, 2007
- Last Update Date
- July 15, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Uconn Medical Group
263 Farmington Ave
Farmington, CT 06030-0001 - City
- Farmington
- State
- Connecticut
- Zip
- 06030-0001
- Phone Number
- 860-679-4477
- Fax Number
- 860-679-4474
Provider Business Mailing Address Details
- Address
- Uconn Medical Group
263 Farmington Ave
Farmington, CT 06030-0001 - City
- Farmington
- State
- CT
- Zip
- 06030-0001
- Phone Number
- 860-679-4477
- Fax Number
- 860-679-4474
License Information
- License Number (1)
- 171089
- License State (1)
- NY
- Taxonomy (1)
- Family Medicine, Geriatric Medicine · 207QG0300X
- License Number (2)
- 054868
- License State (2)
- CT
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
- License Number (3)
- 054868
- License State (3)
- CT
- Taxonomy (3)
- Family Medicine, Geriatric Medicine · 207QG0300X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Farmington, CT
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- Fatema T Islam, MDFamily Medicine · NPI 1265538516
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Frequently Asked Questions
What is the NPI number of Montgomery B Douglas, MD?
The NPI number of Montgomery B Douglas, MD is 1114120839. It was assigned on June 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Montgomery B Douglas, MD?
Montgomery B Douglas, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 171089.
Where does Montgomery B Douglas, MD practice?
The practice location is Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001. The office can be reached at 860-679-4477 (phone) or 860-679-4474 (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 1114120839 directly on the NPPES registry website.