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NPI Code Detail

MEDICARE: DAVID COURTNEY MD

MEDICARE:   DAVID  COURTNEY  MD
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
1207P00000XEmergency Medicine Physician040040DE
2207P00000XEmergency Medicine Physician40040CT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1930000830OTHERCTMEDICARE PROV #

General Provider Information

NPI Number : 1154396349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID COURTNEY MD
Provider Business Mailing Address
First Line : 28 CRESCENT ST
Second Line :
City : MIDDLETOWN
State : CT
Zip : 06457-3654
Country : US
Telephone Number : 860-344-6394
Fax Number : 860-344-6748
Provider Business Practice Location Address
First Line : 185 ASYLUM ST
Second Line :
City : HARTFORD
State : CT
Zip : 06103-3408
Country : US
Telephone Number : 866-949-0108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 03/03/2023

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Directions to “ DAVID COURTNEY MD” Practice Location

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