Provider Demographics
NPI:1750377701
Name:ROY, DAVID P (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:ROY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 KENSINGTON AVE
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-747-5766
Mailing Address - Fax:860-747-2028
Practice Address - Street 1:184 EAST ST
Practice Address - Street 2:GROVE HILL MEDICAL CENTER
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-2913
Practice Address - Country:US
Practice Address - Phone:860-747-5766
Practice Address - Fax:860-747-2028
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
CT027869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060037OtherHEALTH NET
CT2786901OtherCONNECTICARE
CT477128OtherAETNA
CT010027869CT01OtherBCBS & BCFP ID
CT01027869OtherCIGNA
CTP369798OtherOXFORD
CT004215324Medicaid
CT001278696Medicaid
CT110130198OtherRAIL ROAD MEDIARE
CT1255448155OtherGHMC GROUP NPI ID
CT370141OtherWELLCARE MEDICARE
CT010027869CT01OtherBCBS & BCFP ID
CT110130198OtherRAIL ROAD MEDIARE
CT370141OtherWELLCARE MEDICARE