Organization
NUVANCE HEALTH MEDICAL PRACTICE CT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DION (SVP CORE FINANCE)
(203) 739-7127
Entity
Organization
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7742
(203) 739-8731
Mailing address
100 RESERVE RD, DANBURY, CT 06810-5267
(203) 794-5341
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/10/2006
Last updated
03/17/2022
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