Provider Demographics
NPI:1093732596
Name:CONNAIR, MICHAEL PIERCE (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:PIERCE
Last Name:CONNAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 VILLAGE STREET
Mailing Address - Street 2:VILLAGE MEDICAL CENTER
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473
Mailing Address - Country:US
Mailing Address - Phone:203-777-2044
Mailing Address - Fax:203-773-3641
Practice Address - Street 1:12 VILLAGE STREET
Practice Address - Street 2:VILLAGE MEDICAL CENTER
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473
Practice Address - Country:US
Practice Address - Phone:203-777-2044
Practice Address - Fax:203-773-3641
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT022607207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
D02681Medicare UPIN