Provider Demographics
NPI:1497763080
Name:MUELLER, F CARL (M D)
Entity Type:Individual
Prefix:
First Name:F
Middle Name:CARL
Last Name:MUELLER
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 SUMMER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5546
Mailing Address - Country:US
Mailing Address - Phone:203-357-7773
Mailing Address - Fax:203-357-9030
Practice Address - Street 1:999 SUMMER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5546
Practice Address - Country:US
Practice Address - Phone:203-357-7773
Practice Address - Fax:203-357-9030
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT257182084P0800X
NY1847152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB39469Medicare UPIN
CT260002014Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER