Healthcare Provider Details
I. General information
NPI: 1912847005
Provider Name (Legal Business Name): ALTURA MEDICAL ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
46 FEDERAL RD STE D
DANBURY CT
06810-6197
US
IV. Provider business mailing address
46 FEDERAL RD STE D
DANBURY CT
06810-6197
US
V. Phone/Fax
- Phone: 203-456-6989
- Fax: 203-826-7647
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AURA
ARDON
Title or Position: OWNER
Credential: MD
Phone: 718-290-5126