Craig B Mittleman, MD
Emergency Medicine in New London, Connecticut
1841274560- Practice location
- 365 Montauk Ave, New London, CT 06320
- Phone
- 860-442-0711
- Fax
- 203-688-9638
- Last updated
- March 5, 2020
Craig Bruce Mittleman is an Emergency Medicine based in New London, CT. Craig Bruce Mittleman practices in New London, CT and has the professional credentials of MD. The NPI Number for Craig Bruce Mittleman is 1841274560 and holds a License No. 033738 (CT). The current practice location address for Craig Bruce Mittleman is 365 Montauk Ave, New London, CT 06320 and can be reached out via phone at 860-442-0711 and via fax at 203-688-9638.
Provider Profile Details
- NPI Number
- 1841274560
- Provider Name
- Craig Bruce Mittleman
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 365 Montauk Ave, New London, CT 06320
- Phone Number
- 860-442-0711
- Fax Number
- 203-688-9638
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 6, 2005
- Last Update Date
- March 5, 2020
- Certification Date
- March 5, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Montauk Ave
New London, CT 06320 - City
- New London
- State
- Connecticut
- Zip
- 06320
- Phone Number
- 860-442-0711
- Fax Number
- 203-688-9638
Provider Business Mailing Address Details
- Address
- 20 York Street, Cb-329
New Haven, CT 06510-3220 - City
- New Haven
- State
- CT
- Zip
- 06510-3220
- Phone Number
- 203-688-1734
- Fax Number
- 203-688-9638
License Information
- License Number (1)
- 033738
- License State (1)
- CT
- Taxonomy (1)
- Emergency Medicine · 207P00000X · Primary
- License Number (2)
- CMD16915
- License State (2)
- RI
- Taxonomy (2)
- Emergency Medicine · 207P00000X
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 Craig B Mittleman, MD?
The NPI number of Craig B Mittleman, MD is 1841274560. It was assigned on December 6, 2005 and is currently active in the NPPES registry.
What is the specialty of Craig B Mittleman, MD?
Craig B Mittleman, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in CT under license number 033738.
Where does Craig B Mittleman, MD practice?
The practice location is 365 Montauk Ave, New London, CT 06320. The office can be reached at 860-442-0711 (phone) or 203-688-9638 (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 1841274560 directly on the NPPES registry website.