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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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