Natalie P Dequillfeldt, MD, MA
Internal Medicine in Branford, Connecticut
1710568258- Practice location
- 500 E Main St Ste 212, Branford, CT 06405-2937
- Phone
- 203-481-5665
- Fax
- 203-481-2018
- Last updated
- August 10, 2026
Natalie Poonam Dequillfeldt is an Internal Medicine based in Branford, CT. Natalie Poonam Dequillfeldt practices in Branford, CT and has the professional credentials of MD, MA. The NPI Number for Natalie Poonam Dequillfeldt is 1710568258 and holds a License No. DR.0073199 (CO). The current practice location address for Natalie Poonam Dequillfeldt is 500 E Main St Ste 212, Branford, CT 06405-2937 and can be reached out via phone at 203-481-5665 and via fax at 203-481-2018.
Provider Profile Details
- NPI Number
- 1710568258
- Provider Name
- Natalie Poonam Dequillfeldt
- Credential
- MD, MA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 500 E Main St Ste 212, Branford, CT 06405-2937
- Phone Number
- 203-481-5665
- Fax Number
- 203-481-2018
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Other Names
- Natalie Poonam Phagu (Former Name)
- Provider Enumeration Date
- April 16, 2021
- Last Update Date
- August 10, 2026
- Certification Date
- August 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 E Main St Ste 212
Branford, CT 06405-2937 - City
- Branford
- State
- Connecticut
- Zip
- 06405-2937
- Phone Number
- 203-481-5665
- Fax Number
- 203-481-2018
Provider Business Mailing Address Details
- Address
- 500 E Main St Ste 212
Branford, CT 06405-2937 - City
- Branford
- State
- CT
- Zip
- 06405-2937
- Phone Number
- 203-481-5665
- Fax Number
- 203-481-2018
License Information
- License Number (1)
- DR.0073199
- License State (1)
- CO
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 80967
- License State (2)
- CT
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
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 Natalie P Dequillfeldt, MD, MA?
The NPI number of Natalie P Dequillfeldt, MD, MA is 1710568258. It was assigned on April 16, 2021 and is currently active in the NPPES registry.
What is the specialty of Natalie P Dequillfeldt, MD, MA?
Natalie P Dequillfeldt, MD, MA is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CO under license number DR.0073199.
Where does Natalie P Dequillfeldt, MD, MA practice?
The practice location is 500 E Main St Ste 212, Branford, CT 06405-2937. The office can be reached at 203-481-5665 (phone) or 203-481-2018 (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 1710568258 directly on the NPPES registry website.