MEDICARE: DR. DAVID MOLL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	016432	CT

General Provider Information

NPI Number	:	1831186584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MOLL M.D.

Provider Business Mailing Address
First Line	:	135 DIVISION ST
Second Line	:
City	:	ANSONIA
State	:	CT
Zip	:	06401-2135
Country	:	US
Telephone Number	:	203-735-3500
Fax Number	:	203-735-0505

Provider Business Practice Location Address
First Line	:	135 DIVISION ST
Second Line	:
City	:	ANSONIA
State	:	CT
Zip	:	06401-2135
Country	:	US
Telephone Number	:	203-735-3500
Fax Number	:	203-735-0505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	10/22/2018

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Directions to “ DR. DAVID MOLL M.D.” Practice Location

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