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Individual

MICHAEL E DOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 443-1817
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 443-1817

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
037693
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376939
CLINIC NUMBER
01
3328993
AETNA
01
37693CT02
ANTEM BLUE CROSS
05
4014679
CT
05
4024972
CT
01
440003877
MEDICARE RAILROAD
01
766546
CONNECTICARE
01
7940173006
CIGNA
01
OV5386
HEALTH NET
01
P2409395
OXFORD
Enumeration date
08/14/2006
Last updated
07/09/2007
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