NPI Code Details Logo

NPI 1033615570

NPI 1033615570 : MICHAEL JAMES DRECHSLER DO : NEW LONDON, CT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1033615570
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MICHAEL JAMES DRECHSLER DO
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/03/2018
-----------------------------------------------------
    Last Update Date     |    09/24/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    365 MONTAUK AVE 
-----------------------------------------------------
    City                 |    NEW LONDON
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06320-4769
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    860-442-0711
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3 HAMPTON CT 
-----------------------------------------------------
    City                 |    GUILFORD
-----------------------------------------------------
    State                |    CT
-----------------------------------------------------
    Zip                  |    06437-5012
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    631-987-3489
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    DO1375
-----------------------------------------------------
    License Number State |    RI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    79220
-----------------------------------------------------
    License Number State |    CT
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    310477
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.