Individual
DR. MITCHEL D KRIEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 HOSPITAL PLZ STE 603, STAMFORD, CT 06902-3602
(203) 276-2002
(203) 276-2259
Mailing address
29 HOSPITAL PLZ STE 603, STAMFORD, CT 06902-3602
(203) 276-2002
(203) 276-2259
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101055986
VA
208200000X
Plastic Surgery Physician
Primary
75472
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006901107
—
VA
01
—
204010
ANTHEM BLUE CROSS BLUE SH
VA
01
—
39070001
CARE FIRST BLUE CHOICE
VA
Enumeration date
07/26/2006
Last updated
03/06/2024
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