Healthcare Provider Details

I. General information

NPI: 1861545063
Provider Name (Legal Business Name): DARIEN MEDICAL ARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 04/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 POST RD
DARIEN CT
06820-4731
US

IV. Provider business mailing address

722 POST RD
DARIEN CT
06820-4731
US

V. Phone/Fax

Practice location:
  • Phone: 203-656-9999
  • Fax: 718-672-4251
Mailing address:
  • Phone: 203-656-9999
  • Fax: 718-672-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. FREDRIC NEWMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 203-656-9999