Individual
DR. DANIEL LEROY WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
196 WATERFORD PKWY S STE 305B, WATERFORD, CT 06385-1245
(860) 536-2995
(860) 536-7098
Mailing address
196 WATERFORD PKWY S STE 305B, WATERFORD, CT 06385-1245
(860) 536-2995
(860) 536-7098
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
45087
CT
Other
Enumeration date
02/21/2007
Last updated
12/08/2025
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