Dorothea Wild, MD
Internal Medicine in Derby, Connecticut
1912989187- Practice location
- 130 Division St, Derby, CT 06418-1326
- Phone
- 203-732-7325
- Fax
- 203-732-1539
- Last updated
- December 15, 2010
Dorothea Wild is an Internal Medicine based in Derby, CT. Dorothea Wild practices in Derby, CT and has the professional credentials of MD. The NPI Number for Dorothea Wild is 1912989187 and holds a License No. 040387 (CT). The current practice location address for Dorothea Wild is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 203-732-7325 and via fax at 203-732-1539.
Provider Profile Details
- NPI Number
- 1912989187
- Provider Name
- Dorothea Wild
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 Division St, Derby, CT 06418-1326
- Phone Number
- 203-732-7325
- Fax Number
- 203-732-1539
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 15, 2005
- Last Update Date
- December 15, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Division St
Derby, CT 06418-1326 - City
- Derby
- State
- Connecticut
- Zip
- 06418-1326
- Phone Number
- 203-732-7325
- Fax Number
- 203-732-1539
Provider Business Mailing Address Details
- Address
- 130 Division St
Derby, CT 06418-1326 - City
- Derby
- State
- CT
- Zip
- 06418-1326
- Phone Number
- 203-732-7325
- Fax Number
- 203-732-1539
License Information
- License Number
- 040387
- License State
- CT
- Taxonomy
- Internal Medicine · 207R00000X · 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 Dorothea Wild, MD?
The NPI number of Dorothea Wild, MD is 1912989187. It was assigned on November 15, 2005 and is currently active in the NPPES registry.
What is the specialty of Dorothea Wild, MD?
Dorothea Wild, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 040387.
Where does Dorothea Wild, MD practice?
The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 203-732-7325 (phone) or 203-732-1539 (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 1912989187 directly on the NPPES registry website.