Active NPIIndividual provider

Dr. Matthew R Dukehart, MD

Surgery in Ellington, Connecticut

NPI Number1497767461
Practice location
175 West RD, Suite 200, Ellington, CT 06029-3730
Fax
860-375-9133
Last updated
May 3, 2012

Matthew Robert Dukehart is a Surgery based in Ellington, CT. Matthew Robert Dukehart practices in Ellington, CT and has the professional credentials of MD. The NPI Number for Matthew Robert Dukehart is 1497767461 and holds a License No. 033860 (CT). The current practice location address for Matthew Robert Dukehart is 175 West RD, Suite 200, Ellington, CT 06029-3730 and can be reached out via phone at 860-375-9122 and via fax at 860-375-9133.

Provider Profile Details

NPI Number
1497767461
Provider Name
Matthew Robert Dukehart
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
175 West RD, Suite 200, Ellington, CT 06029-3730
Phone Number
860-375-9122
Fax Number
860-375-9133
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
August 11, 2006
Last Update Date
May 3, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 West RD
Suite 200
Ellington, CT 06029-3730
Zip
06029-3730
Phone Number
860-375-9122
Fax Number
860-375-9133
Ellington, CT 06029Get directions →

Provider Business Mailing Address Details

Address
58 Somers Hill Cir
Somers, CT 06071-1927
City
Somers
State
CT
Zip
06071-1927
Phone Number
860-749-1210

License Information

License Number
033860
License State
CT
Taxonomy
Surgery · 208600000X · 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. Matthew R Dukehart, MD?

The NPI number of Dr. Matthew R Dukehart, MD is 1497767461. It was assigned on August 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Matthew R Dukehart, MD?

Dr. Matthew R Dukehart, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in CT under license number 033860.

Where does Dr. Matthew R Dukehart, MD practice?

The practice location is 175 West RD, Suite 200, Ellington, CT 06029-3730. The office can be reached at 860-375-9122 (phone) or 860-375-9133 (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 1497767461 directly on the NPPES registry website.

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