Individual
TODD DAVID APPLEGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5 PEQUOT PARK RD, SUITE 201A, WESTBROOK, CT 06498-2856
(860) 391-8068
Mailing address
5 PEQUOT PARK RD, SUITE 201A, WESTBROOK, CT 06498-2856
(860) 391-8068
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
044333
CT
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
044333
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044333
CT LISCENSE
CT
Enumeration date
05/15/2006
Last updated
07/09/2012
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