Healthcare Provider Details

I. General information

NPI: 1134186174
Provider Name (Legal Business Name): PAUL E APPLETON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

778 NEW HAVEN RD
NAUGATUCK CT
06770-4782
US

IV. Provider business mailing address

PO BOX 617
NAUGATUCK CT
06770-0617
US

V. Phone/Fax

Practice location:
  • Phone: 203-723-4032
  • Fax: 203-723-4753
Mailing address:
  • Phone: 203-723-4032
  • Fax: 203-723-4753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number037261
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: