Marie Dam, MD
Internal Medicine in Avon, Connecticut
1164576062- Practice location
- 35 Tower Ln, Suite 103, Avon, CT 06001-4237
- Phone
- 860-921-3345
- Fax
- 860-201-1041
- Last updated
- May 19, 2015
Marie Dam is an Internal Medicine based in Avon, CT. Marie Dam practices in Avon, CT and has the professional credentials of MD. The NPI Number for Marie Dam is 1164576062 and holds a License No. 036441 (CT). The current practice location address for Marie Dam is 35 Tower Ln, Suite 103, Avon, CT 06001-4237 and can be reached out via phone at 860-921-3345 and via fax at 860-201-1041.
Provider Profile Details
- NPI Number
- 1164576062
- Provider Name
- Marie Dam
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 35 Tower Ln, Suite 103, Avon, CT 06001-4237
- Phone Number
- 860-921-3345
- Fax Number
- 860-201-1041
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 22, 2007
- Last Update Date
- May 19, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 35 Tower Ln
Suite 103
Avon, CT 06001-4237 - City
- Avon
- State
- Connecticut
- Zip
- 06001-4237
- Phone Number
- 860-921-3345
- Fax Number
- 860-201-1041
Provider Business Mailing Address Details
- Address
- 35 Tower Ln
Suite 103
Avon, CT 06001-4237 - City
- Avon
- State
- CT
- Zip
- 06001-4237
- Phone Number
- 860-921-3345
- Fax Number
- 860-201-1041
License Information
- License Number (1)
- 036441
- License State (1)
- CT
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 113731
- License State (2)
- FL
- Taxonomy (2)
- Internal Medicine · 207R00000X
- License Number (3)
- 45523
- License State (3)
- KY
- Taxonomy (3)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Marie Dam, MD?
The NPI number of Marie Dam, MD is 1164576062. It was assigned on January 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Marie Dam, MD?
Marie Dam, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 036441.
Where does Marie Dam, MD practice?
The practice location is 35 Tower Ln, Suite 103, Avon, CT 06001-4237. The office can be reached at 860-921-3345 (phone) or 860-201-1041 (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 1164576062 directly on the NPPES registry website.