Provider Demographics
NPI:1437267465
Name:DOYLE, MICHAEL B (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:B
Last Name:DOYLE
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 1:405 N CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-2852
Mailing Address - Country:US
Mailing Address - Phone:203-209-4911
Mailing Address - Fax:
Practice Address - Street 1:405 N CEDAR RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-2852
Practice Address - Country:US
Practice Address - Phone:203-209-4911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT029752207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT625019OtherCONNECTICARE
CT0155890OtherCIGNA
CT029752OtherSTATE LICENSE
CT4416733OtherAETNA
CT9028787OtherPHCS
CT010029752CT03OtherBLUE CROSS BLUE SHIELD
CT223768276OtherUNITED HEALTHCARE
CTZS615OtherOXFORD
CTOV8037OtherHEALTHNET
CTBD2700486OtherDEA
CT625019OtherCONNECTICARE