Amara, Matthew David
Amara, Matthew David is an individual health care provider with primary practice located at 31 Old Route 7 , Brookfield CT 06804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Amara, Matthew David can be contacted via phone (203) 740-4455.Contact Information
Primary practice address
31 Old Route 7
Brookfield CT 06804
Phone: (203) 740-4455
Fax: (203) 740-4477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 000438 | Connecticut |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 000438 | Connecticut |
Profile Details
| NPI number | 1275588493 |
|---|---|
| LBN Legal business name | Amara, Matthew David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jan 16th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275588493 | NPPES |
| Connecticut | Other | 10998554 | CAQH NUMBER |
| Connecticut | MEDICAID | 008081624 | CAQH NUMBER |
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