Healthcare Provider Details

I. General information

NPI: 1518968247
Provider Name (Legal Business Name): EDWARD A MARKOWITZ D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 04/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 MILL PLAIN RD
DANBURY CT
06811-5140
US

IV. Provider business mailing address

4B CHRISTOPHER COLUMBUS AVE
DANBURY CT
06810-7352
US

V. Phone/Fax

Practice location:
  • Phone: 203-790-9563
  • Fax: 203-778-6612
Mailing address:
  • Phone: 203-790-9563
  • Fax: 203-778-6612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number240
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: