Healthcare Provider Details

I. General information

NPI: 1972034460
Provider Name (Legal Business Name): CRISTINA VO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2017
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 NEWTOWN RD STE 1B
DANBURY CT
06810-4151
US

IV. Provider business mailing address

107 NEWTOWN RD STE 1B
DANBURY CT
06810-4151
US

V. Phone/Fax

Practice location:
  • Phone: 203-830-4700
  • Fax: 203-790-5324
Mailing address:
  • Phone: 203-830-4700
  • Fax: 203-790-5324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number72312
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number72312
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: