Michael E. Blefeld, M.D.

Pediatrics Physician · Groton, CT

Individual Active NPI

NPI number 1104997923

Practice location

495 Gold Star Hwy
Suite 120
Groton, CT 06340-6228
Phone
(860) 449-8882
Fax
(860) 449-9195

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NPI record

NPI
1104997923
Entity type
Individual (Type 1)
Enumeration date
November 13, 2006
Last updated
December 29, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 22070 CT

About Dr. Blefeld

Michael E. Blefeld, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228. The NPI number 1104997923 was assigned on November 13, 2006 and the record was last updated on December 29, 2008.

Dr. Blefeld lists a license in the registry: #22070 (CT) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael E. Blefeld, M.D.?

The NPI number is 1104997923.

What is the phone number of Dr. Blefeld?

The phone number listed for the practice location is (860) 449-8882.

Where is Dr. Blefeld located?

495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228.

What is the taxonomy code for Dr. Blefeld?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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