Healthcare Provider Details

I. General information

NPI: 1144296112
Provider Name (Legal Business Name): FRANCINE M TESTA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 10/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 DURHAM RD STE 1-7
GUILFORD CT
06437
US

IV. Provider business mailing address

5 DURHAM RD STE 1-7
GUILFORD CT
06437
US

V. Phone/Fax

Practice location:
  • Phone: 203-453-2181
  • Fax: 203-453-8993
Mailing address:
  • Phone: 203-453-2181
  • Fax: 203-453-8993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number032055
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: