Active NPIIndividual provider

Dr. Amy Douglass, MD, MPH

Emergency Medicine in New London, Connecticut

NPI Number1356782601
Practice location
365 Montauk Ave, New London, CT 06320-4769
Fax
—
Last updated
December 1, 2020

Amy Douglass is an Emergency Medicine based in New London, CT. Amy Douglass practices in New London, CT and has the professional credentials of MD, MPH. The NPI Number for Amy Douglass is 1356782601 and holds a License No. 63602 (CT). The current practice location address for Amy Douglass is 365 Montauk Ave, New London, CT 06320-4769 and can be reached out via phone at 860-442-0711.

Provider Profile Details

NPI Number
1356782601
Provider Name
Amy Douglass
Credential
MD, MPH
Provider Entity Type
Individual
Gender
Female
Address
365 Montauk Ave, New London, CT 06320-4769
Phone Number
860-442-0711
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2013
Last Update Date
December 1, 2020
Certification Date
December 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
365 Montauk Ave
New London, CT 06320-4769
Zip
06320-4769
Phone Number
860-442-0711
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
365 Montauk Ave
New London, CT 06320-4769
City
New London
State
CT
Zip
06320-4769
Phone Number
860-442-0711

License Information

License Number
63602
License State
CT
Taxonomy
Emergency Medicine · 207P00000X · 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. Amy Douglass, MD, MPH?

The NPI number of Dr. Amy Douglass, MD, MPH is 1356782601. It was assigned on July 16, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Amy Douglass, MD, MPH?

Dr. Amy Douglass, MD, MPH is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in CT under license number 63602.

Where does Dr. Amy Douglass, MD, MPH practice?

The practice location is 365 Montauk Ave, New London, CT 06320-4769. The office can be reached at 860-442-0711 (phone).

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 1356782601 directly on the NPPES registry website.

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