Provider Demographics
NPI:1851393573
Name:DRICKAMER, MARGARET A (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:DRICKAMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1106
Mailing Address - Country:US
Mailing Address - Phone:203-688-8200
Mailing Address - Fax:203-688-8204
Practice Address - Street 1:874 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1106
Practice Address - Country:US
Practice Address - Phone:203-688-8200
Practice Address - Fax:203-688-8204
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT027533207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT367673OtherWELLCARE OF CT
CT061561581OtherCIGNA
CT380001588OtherRAIL ROAD MEDICARE
CT010027533CT03OtherANTHEM BC/BS
CT2576691OtherAETNA
CO061561581OtherUNITED HEALTHCARE
CTP2517713OtherOXFORD
CT001275339Medicaid
CT0Q2642OtherHEALTH NET
CT061561581OtherHEALTH CT
CT027533OtherCONNECTICARE
CO061561581OtherUNITED HEALTHCARE
E23595Medicare UPIN