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Contact Information

TODD M BISHOP, DO
80 SOUTH MAIN ST
MIDDLETOWN, CT06457
 Phone: 860-358-6878
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TODD M BISHOP · (Male)

NPI Number 1497750152
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/17/2005
Last updated 10/15/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 043002
  • MA License # 229835
  • MA Medicaid 2102358
  • CT Other 43002 CT LICENSE 43002
Hospital affiliation(s)
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
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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