Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 029752 | CT |
NPI | 1437267465 |
---|---|
Provider Name | Dr. Michael B Doyle |
First Address | Fairfield, CT 06824-2852 |
Second Address | Fairfield, CT 06824-2852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 27/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010029752CT03 | BLUE CROSS BLUE SHIELD (01) | CT |
0155890 | CIGNA (01) | CT |
029752 | STATE LICENSE (01) | CT |
223768276 | UNITED HEALTHCARE (01) | CT |
4416733 | AETNA (01) | CT |
625019 | CONNECTICARE (01) | CT |
9028787 | PHCS (01) | CT |
BD2700486 | DEA (01) | CT |
E91621 | (02) | |
OV8037 | HEALTHNET (01) | CT |
ZS615 | OXFORD (01) | CT |