Individual
DR. MATTHEW ROBERT DUKEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 WEST RD, SUITE 200, ELLINGTON, CT 06029-3730
(860) 375-9122
(860) 375-9133
Mailing address
58 SOMERS HILL CIR, SOMERS, CT 06071-1927
(860) 749-1210
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
033860
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001338608
—
CT
Enumeration date
08/11/2006
Last updated
05/03/2012
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