Healthcare Provider Details

I. General information

NPI: 1942616826
Provider Name (Legal Business Name): MEREDITH ANN LINDNER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2014
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 WESTBROOK RD
ESSEX CT
06426-1512
US

IV. Provider business mailing address

28 CRESCENT ST
MIDDLETOWN CT
06457-3654
US

V. Phone/Fax

Practice location:
  • Phone: 860-767-8265
  • Fax:
Mailing address:
  • Phone: 860-358-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number56418
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number056418
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: