Individual
JOHN D MACHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-5322
(860) 358-6298
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-5322
(860) 358-6298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043953
CT
208M00000X
Hospitalist Physician
Primary
43953
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001439539
—
CT
Enumeration date
04/07/2006
Last updated
03/16/2017
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