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Contact Information

LISA M DUNKLE, MD
12 RICHBOROUGH RD
MADISON, CT06443-2530
 Phone: 203-245-1042
 Fax: 203-599-6069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LISA M DUNKLE · (Female)

NPI # 1568617918
Status Active
Credentials MD
Entity Individual
Enumeration date 11/26/2008
Last updated 09/02/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 030377
  • MO License # R6582
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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