Provider Demographics
NPI:1578503967
Name:DUHIG, NIALL J (MD)
Entity Type:Individual
Prefix:DR
First Name:NIALL
Middle Name:J
Last Name:DUHIG
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 1:415 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-4716
Mailing Address - Country:US
Mailing Address - Phone:860-437-1100
Mailing Address - Fax:860-440-3311
Practice Address - Street 1:81 BEACH STREET
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891
Practice Address - Country:US
Practice Address - Phone:401-596-1951
Practice Address - Fax:401-596-1953
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT041248207RP1001X
RI11213207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001412486Medicaid
RI7056908Medicaid
CTP00234211OtherMEDICARE RR
CT290000418Medicare ID - Type Unspecified
RI007056623Medicare PIN
CT001412486Medicaid