Organization
MICHAEL J PIERCE MD LLC
Active
Organization
MICHAEL J PIERCE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J PIERCE MD (OWNER)
(860) 657-8140
Entity
Organization
Contact information
Practice address
701 HEBRON AVE, SUITE 1, GLASTONBURY, CT 06033-2489
(860) 657-8140
(860) 430-9403
Mailing address
701 HEBRON AVE, SUITE 1, GLASTONBURY, CT 06033-2489
(860) 657-8140
(860) 430-9403
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
033509
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010033509CT04
ANTHEM BLUE CROSS
CT
Enumeration date
03/27/2007
Last updated
03/07/2011
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