IndividualActive
Amy Douglass, M.D., MPH
NPI 1356782601 · Emergency Medicine Physician · New London, CT
Provider details
- NPI number
- 1356782601
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., MPH
- Sex
- Female
- Sole proprietor
- No
- License
- 63602 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
365 Montauk Ave
New London, CT 06320-4769
Phone: (860) 442-0711
Approximate (ZIP-level) locationGet directions
Mailing address
365 Montauk Ave
New London, CT 06320-4769
Additional practice locations (1)
- 1000 W Carson StTorrance, CA 90502-2004Phone: (310) 222-3501Fax: (310) 782-1763
Registry dates
- Enumerated
- 2013-07-16
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.