Healthcare Provider Details

I. General information

NPI: 1992777544
Provider Name (Legal Business Name): MICHAEL BEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 WEST RD STE 200
ELLINGTON CT
06029-3730
US

IV. Provider business mailing address

175 WEST RD STE 200
ELLINGTON CT
06029-3730
US

V. Phone/Fax

Practice location:
  • Phone: 860-375-9122
  • Fax: 860-375-9133
Mailing address:
  • Phone: 860-375-9122
  • Fax: 860-375-9133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number021591
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: