Individual
DAVID COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 ASYLUM ST, HARTFORD, CT 06103-3408
(866) 949-0108
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 344-6394
(860) 344-6748
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
040040
DE
207P00000X
Emergency Medicine Physician
Primary
40040
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930000830
MEDICARE PROV #
CT
Enumeration date
02/21/2006
Last updated
03/03/2023
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