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NPI Code Detail

MEDICARE: DR. MICHAEL SCOTT KING M.D

MEDICARE:  DR. MICHAEL SCOTT KING  M.D
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
1207K00000XAllergy & Immunology Physician030566CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861434086
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL SCOTT KING M.D
Provider Business Mailing Address
First Line : 115 TECHNOLOGY DR
Second Line : SUITE B 302
City : TRUMBULL
State : CT
Zip : 06611-6337
Country : US
Telephone Number : 203-459-8712
Fax Number : 203-459-8739
Provider Business Practice Location Address
First Line : 115 TECHNOLOGY DR
Second Line : SUITE B 302
City : TRUMBULL
State : CT
Zip : 06611-6337
Country : US
Telephone Number : 203-459-8712
Fax Number : 203-459-8739
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 04/18/2024

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Directions to “ DR. MICHAEL SCOTT KING M.D” Practice Location

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