Active NPIIndividual providerSole proprietor

Richard P Dibala, MD

Family Medicine in Storrs Mansfield, Connecticut

NPI Number1407968050
Practice location
1022 Storrs RD, Storrs Mansfield, CT 06268-2639
Fax
860-429-4775
Last updated
May 29, 2008

Richard Paul Dibala is a Family Medicine based in Storrs Mansfield, CT. Richard Paul Dibala practices in Storrs Mansfield, CT and has the professional credentials of MD. The NPI Number for Richard Paul Dibala is 1407968050 and holds a License No. 022511 (CT). The current practice location address for Richard Paul Dibala is 1022 Storrs RD, Storrs Mansfield, CT 06268-2639 and can be reached out via phone at 860-429-9321 and via fax at 860-429-4775.

Provider Profile Details

NPI Number
1407968050
Provider Name
Richard Paul Dibala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1022 Storrs RD, Storrs Mansfield, CT 06268-2639
Phone Number
860-429-9321
Fax Number
860-429-4775
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2006
Last Update Date
May 29, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1022 Storrs RD
Storrs Mansfield, CT 06268-2639
Zip
06268-2639
Phone Number
860-429-9321
Fax Number
860-429-4775
Storrs Mansfield, CT 06268Get directions →

Provider Business Mailing Address Details

Address
16 Jacobs Hill RD
Mansfield Center, CT 06250-1650
City
Mansfield Center
State
CT
Zip
06250-1650
Phone Number
860-456-2863

License Information

License Number
022511
License State
CT
Taxonomy
Family Medicine · 207Q00000X · 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 Richard P Dibala, MD?

The NPI number of Richard P Dibala, MD is 1407968050. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Richard P Dibala, MD?

Richard P Dibala, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 022511.

Where does Richard P Dibala, MD practice?

The practice location is 1022 Storrs RD, Storrs Mansfield, CT 06268-2639. The office can be reached at 860-429-9321 (phone) or 860-429-4775 (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 1407968050 directly on the NPPES registry website.

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