State Of Ct. - Office Of The Comptroller

Specialty details in registry · Southbury, CT

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At a glance

1461 South Britain Road, Southbury, CT 06488-1139

NPPES record updated Mar 25, 2016. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1461 South Britain Road
Southbury, CT 06488-1139
Professional details: NPI, taxonomy & registry record
NPI1003959685
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
315P00000X
Enumeration date
Feb 14, 2007
Record updated
Mar 25, 2016
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

315P00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1461 South Britain Road
Southbury, CT 06488-1139
Phone
(203) 586-2000
Fax
(203) 586-2700
Mailing address
P.O. BOX 872

SOUTHBURY, CT 064881139
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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