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Contact Information

MICHAEL DIBIASE
100 GRAND ST FL 1
NEW BRITAIN, CT06052-2016
 Phone: 860-224-5011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MICHAEL DIBIASE · (Male)

NPI Number 1245627801
Status Active
Credentials
Entity Individual
Enumeration date 04/22/2015
Last updated 08/01/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 63949
  • VA License # 203677
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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