Healthcare Provider Details

I. General information

NPI: 1922042050
Provider Name (Legal Business Name): CLAIRE M BAILEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLAIRE ROEHL

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 NEWTOWN RD SUITE 1D
DANBURY CT
06810-4146
US

IV. Provider business mailing address

107 NEWTOWN RD SUITE 1D
DANBURY CT
06810-4146
US

V. Phone/Fax

Practice location:
  • Phone: 203-790-0822
  • Fax: 203-790-1808
Mailing address:
  • Phone: 203-790-0822
  • Fax: 203-790-1808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036712
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: