Healthcare Provider Details

I. General information

NPI: 1144424938
Provider Name (Legal Business Name): DENA JUDITH SPRINGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 WASHINGTON AVE
HAMDEN CT
06518-3267
US

IV. Provider business mailing address

42 RICHARD SWEET DR
WOODBRIDGE CT
06525-1126
US

V. Phone/Fax

Practice location:
  • Phone: 203-287-0552
  • Fax: 203-287-1426
Mailing address:
  • Phone: 617-947-8133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number046706
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: