Healthcare Provider Details

I. General information

NPI: 1801243217
Provider Name (Legal Business Name): JOSEPH XAVIER CANARIE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 WHITNEY AVE STE 290
HAMDEN CT
06518-3695
US

IV. Provider business mailing address

2200 WHITNEY AVE STE 290
HAMDEN CT
06518-3695
US

V. Phone/Fax

Practice location:
  • Phone: 203-903-8308
  • Fax:
Mailing address:
  • Phone: 203-903-8308
  • Fax: 203-599-3927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number65060
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number65060
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: