IndividualActive
David Southerland, M.D.
NPI 1932260965 · General Practice Physician · Groton, CT
Provider details
- NPI number
- 1932260965
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10023 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Bldg 148, Trout Ave
Groton, CT 06349-5900
Phone: (860) 694-3263
Fax: (860) 694-4809
Approximate (ZIP-level) locationGet directions
Mailing address
Bldg 148, Trout Ave
Groton, CT 06349-5900
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.