Individual
DR. DAVID JOSEPH MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 SAYBROOK RD STE 5, MIDDLETOWN, CT 06457-4743
(860) 344-8606
(860) 344-8963
Mailing address
535 SAYBROOK RD STE 5, MIDDLETOWN, CT 06457-4743
(860) 344-8606
(860) 344-8963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
026312
CT
207RN0300X
Nephrology Physician
Primary
026312
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026312
STATE LICENSE
CT
05
—
4064721
—
CT
Enumeration date
10/06/2006
Last updated
01/05/2024
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