Provider Demographics
NPI:1982602868
Name:JOYCE, MICHAEL EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EDWARD
Last Name:JOYCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 GLASTONBURY BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-4468
Mailing Address - Country:US
Mailing Address - Phone:860-652-8883
Mailing Address - Fax:860-652-8887
Practice Address - Street 1:84 GLASTONBURY BLVD
Practice Address - Street 2:BLVD
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4468
Practice Address - Country:US
Practice Address - Phone:860-652-8883
Practice Address - Fax:860-652-8887
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT34379207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2V5300OtherHEALTHNET PROVIDER NUMBER
CT9130585002OtherCIGNA PROVIDER NUMBER
CT343790OtherCONNECTICARE PROVIDER NUM
CT0940247OtherUNITEDHEALTHCARE PROVIDER
CTP3453277OtherOXFORD PROVIDER NUMBER
CT010034379CT02OtherBLUE SHIELD PROVIDER NUMB
CT200001058Medicare PIN
CT343790OtherCONNECTICARE PROVIDER NUM
CTP3453277OtherOXFORD PROVIDER NUMBER