Montgomery Bernard Douglas
Family Doctor Family Doctor - Geriatric Medicine
Uconn Medical Group 263 Farmington Ave
Farmington
, Connecticut 06030-0001
Montgomery Bernard Douglas
Family Doctor Family Doctor - Geriatric Medicine
Uconn Medical Group 263 Farmington Ave
Farmington
, Connecticut 06030-0001
(860) 679-4474
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Montgomery Bernard Douglas
- Uconn Medical Group 263 Farmington Ave
- Farmington, CT
- Zip : 06030-0001
- Fax : (860) 679-4474
- Phone : (860) 679-4477
Second Address
- Montgomery Bernard Douglas
- Uconn Medical Group 263 Farmington Ave
- Farmington, CT
- Zip : 06030-0001
- Fax : (860) 679-4474
- Phone : (860) 679-4477
Reviews
FAQs
Where did Montgomery Bernard Douglas attend graduate school?
Where did Montgomery Bernard Douglas do his residency?
Where did Montgomery Bernard Douglas do his fellowship?
Is Montgomery Bernard Douglas board certified?
What type of doctor is Montgomery Bernard Douglas
In what state does Montgomery Bernard Douglas practice in?
Where is Montgomery Bernard Douglas ’s practice located?
What is Montgomery Bernard Douglas ’s gender?
Is Montgomery Bernard Douglas a sole practitioner?
Is Montgomery Bernard Douglas accepting new patients?
What languages does Montgomery Bernard Douglas speak?
Does Montgomery Bernard Douglas accept insurance?
Does Montgomery Bernard Douglas offers telemedicine?
What is Montgomery Bernard Douglas ’s professional license number?
What is Montgomery Bernard Douglas ’s NPI number?
Does Montgomery Bernard Douglas have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 054868 | CT |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 054868 | CT |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 171089 | NY |
National Provider Identifier
| NPI | 1114120839 |
|---|---|
| Provider Name | Montgomery Bernard Douglas |
| First Address | Farmington, CT 06030-0001 |
| Second Address | Farmington, CT 06030-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2007 |
| Last Update Date | 15/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01141015 | (05) | NY |
| E38161 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.