Active NPIIndividual providerSole proprietor

Dr. Diane W Mickley, MD

Internal Medicine in Greenwich, Connecticut

NPI Number1164574778
Practice location
7 Riversville RD, Greenwich, CT 06831-3627
Fax
203-531-7449
Last updated
July 8, 2007

Diane Wilkins Mickley is an Internal Medicine based in Greenwich, CT. Diane Wilkins Mickley practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Diane Wilkins Mickley is 1164574778 and holds a License No. 16643 (CT). The current practice location address for Diane Wilkins Mickley is 7 Riversville RD, Greenwich, CT 06831-3627 and can be reached out via phone at 203-531-1909 and via fax at 203-531-7449.

Provider Profile Details

NPI Number
1164574778
Provider Name
Diane Wilkins Mickley
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
7 Riversville RD, Greenwich, CT 06831-3627
Phone Number
203-531-1909
Fax Number
203-531-7449
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Riversville RD
Greenwich, CT 06831-3627
Zip
06831-3627
Phone Number
203-531-1909
Fax Number
203-531-7449
Greenwich, CT 06831Get directions →

Provider Business Mailing Address Details

Address
7 Riversville RD
Greenwich, CT 06831-3627
City
Greenwich
State
CT
Zip
06831-3627
Phone Number
203-531-1909
Fax Number
203-531-7449

License Information

License Number
16643
License State
CT
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Diane W Mickley, MD?

The NPI number of Dr. Diane W Mickley, MD is 1164574778. It was assigned on January 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Diane W Mickley, MD?

Dr. Diane W Mickley, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 16643.

Where does Dr. Diane W Mickley, MD practice?

The practice location is 7 Riversville RD, Greenwich, CT 06831-3627. The office can be reached at 203-531-1909 (phone) or 203-531-7449 (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 1164574778 directly on the NPPES registry website.

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