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Contact Information

IAN C MICHELOW, MD
85 SEYMOUR ST
HARTFORD, CT06106-5501
 Phone: 860-545-8490
 Fax: 860-545-9371
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for IAN C MICHELOW · (Male)

NPI Number 1386634756
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2005
Last updated 05/07/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 70212
  • MA License # 216301
  • RI License # MD13482
  • MA Medicaid 2026091
  • MA Other J26918 BCBS MA
  • MA Other 468557 TUFTS HEALTH PLAN
  • RI Other MD13482 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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