Healthcare Provider Details

I. General information

NPI: 1609984350
Provider Name (Legal Business Name): PAUL CONTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 DALE RD SUITE 201
AVON CT
06001-4315
US

IV. Provider business mailing address

270 FARMINGTON AVE SUITE 303
FARMINGTON CT
06032-1909
US

V. Phone/Fax

Practice location:
  • Phone: 860-674-1713
  • Fax:
Mailing address:
  • Phone: 860-409-4595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: