Individual
DAVID BAIRD LOBOZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4966
Mailing address
144 LOWER BLVD, NEW LONDON, CT 06320-4333
(207) 440-9827
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD13263
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124500000
MAINE CARE
ME
Enumeration date
08/24/2005
Last updated
01/06/2025
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