Healthcare Provider Details

I. General information

NPI: 1558908897
Provider Name (Legal Business Name): DUNCASTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 LOEFFLER RD.
BLOOMFIELD CT
06002
US

IV. Provider business mailing address

40 LOEFFLER RD.
BLOOMFIELD CT
06002
US

V. Phone/Fax

Practice location:
  • Phone: 860-380-5187
  • Fax: 860-380-5029
Mailing address:
  • Phone: 860-380-5011
  • Fax: 860-380-5120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LORI DOYLE
Title or Position: CFO
Credential:
Phone: 860-380-5038