Healthcare Provider Details

I. General information

NPI: 1811063282
Provider Name (Legal Business Name): CECILE P WINDELS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 02/15/2021
Certification Date: 02/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 POST RD STE 100
DARIEN CT
06820-4745
US

IV. Provider business mailing address

745 POST RD STE 100
DARIEN CT
06820-4745
US

V. Phone/Fax

Practice location:
  • Phone: 203-655-6000
  • Fax: 203-655-6003
Mailing address:
  • Phone: 203-655-6000
  • Fax: 203-655-6003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number028744
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: