Individual
DOUGLAS MITCHELL BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Mailing address
20 RESEARCH PARKWAY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
025691
CT
2084P0800X
Psychiatry Physician
17778
SC
2084P0800X
Psychiatry Physician
MD13289
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1256917CL
CLINIC NUMBER
—
05
—
4014679
—
CT
05
—
4024972
—
CT
Enumeration date
10/10/2006
Last updated
03/26/2025
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