Provider Demographics
NPI:1447275607
Name:METZ, CHRISTINE M (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:M
Last Name:METZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:57 NORTH ST
Mailing Address - Street 2:SUITES 309 - 311
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5660
Mailing Address - Country:US
Mailing Address - Phone:203-743-0100
Mailing Address - Fax:203-731-5268
Practice Address - Street 1:57 NORTH ST
Practice Address - Street 2:SUITES 309 - 311
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5660
Practice Address - Country:US
Practice Address - Phone:203-743-0100
Practice Address - Fax:203-731-5268
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA35424207R00000X
NC200601247207R00000X
CT049024207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA36705OtherWELLMARK
IA0452110Medicaid
NC1432ROtherBCBS NC
CT8023171Medicaid
NC5905429Medicaid
NC192600OtherMEDCOST
NC808890OtherPARTNERS MEDICARE
CT8023171Medicaid
NC1432ROtherBCBS NC
IA36705OtherWELLMARK