Organization
DANBURY OFFICE OF PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH F OSWALD (CREDENTIALING REPRESENTATIVE)
(203) 739-7433
Entity
Organization
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-6810
(203) 739-6465
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-6810
(203) 739-6465
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CT
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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