Healthcare Provider Details

I. General information

NPI: 1366734832
Provider Name (Legal Business Name): FRANCOIS HAYATO COUTU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2011
Last Update Date: 09/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MONROE TPKE STE 16
MONROE CT
06468-2278
US

IV. Provider business mailing address

15 GLEN SPRING DR
TRUMBULL CT
06611-2107
US

V. Phone/Fax

Practice location:
  • Phone: 203-452-1063
  • Fax: 203-445-8926
Mailing address:
  • Phone: 802-999-1703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number053365
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: