Individual
DR. MICHAEL BRIAN ARCHAMBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD, CT 06106-5539
(203) 370-1701
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT 06108-7301
(860) 282-0833
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
047171
CT
207LP3000X
Pediatric Anesthesiology Physician
047171
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689865743
—
CT
Enumeration date
08/05/2007
Last updated
08/23/2023
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