Provider Demographics
NPI:1902076870
Name:DUNBAR, NANCY S (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:S
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 FARMINGTON AVE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1901
Mailing Address - Country:US
Mailing Address - Phone:860-837-6700
Mailing Address - Fax:860-837-6765
Practice Address - Street 1:505 FARMINGTON AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1901
Practice Address - Country:US
Practice Address - Phone:860-837-6700
Practice Address - Fax:860-837-6765
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2202872080P0205X
CT0439302080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0005032Medicare PIN