Mary Beth Van Siclen, MD
Family Medicine in Durham, Connecticut
1730590860- Practice location
- 6 Main St, Durham, CT 06422-2130
- Phone
- 860-358-5020
- Fax
- 860-358-8652
- Last updated
- February 5, 2026
Mary Beth Van Siclen is a Family Medicine based in Durham, CT. Mary Beth Van Siclen practices in Durham, CT and has the professional credentials of MD. The NPI Number for Mary Beth Van Siclen is 1730590860 and holds a License No. 61380 (CT). The current practice location address for Mary Beth Van Siclen is 6 Main St, Durham, CT 06422-2130 and can be reached out via phone at 860-358-5020 and via fax at 860-358-8652.
Provider Profile Details
- NPI Number
- 1730590860
- Provider Name
- Mary Beth Van Siclen
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6 Main St, Durham, CT 06422-2130
- Phone Number
- 860-358-5020
- Fax Number
- 860-358-8652
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 12, 2014
- Last Update Date
- February 5, 2026
- Certification Date
- February 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Main St
Durham, CT 06422-2130 - City
- Durham
- State
- Connecticut
- Zip
- 06422-2130
- Phone Number
- 860-358-5020
- Fax Number
- 860-358-8652
Provider Business Mailing Address Details
- Address
- 28 Crescent St
Middletown, CT 06457-3654 - City
- Middletown
- State
- CT
- Zip
- 06457-3654
- Phone Number
- 860-358-4870
- Fax Number
- 860-358-8661
License Information
- License Number
- 61380
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
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 Mary Beth Van Siclen, MD?
The NPI number of Mary Beth Van Siclen, MD is 1730590860. It was assigned on May 12, 2014 and is currently active in the NPPES registry.
What is the specialty of Mary Beth Van Siclen, MD?
Mary Beth Van Siclen, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 61380.
Where does Mary Beth Van Siclen, MD practice?
The practice location is 6 Main St, Durham, CT 06422-2130. The office can be reached at 860-358-5020 (phone) or 860-358-8652 (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 1730590860 directly on the NPPES registry website.