Individual
MICHAEL DIBIASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 GRAND ST FL 1, NEW BRITAIN, CT 06052-2016
(860) 224-5011
Mailing address
100 GRAND ST FL 1, NEW BRITAIN, CT 06052-2016
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
203677
VA
2084P0800X
Psychiatry Physician
Primary
63949
CT
Other
Enumeration date
04/22/2015
Last updated
08/01/2025
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