Healthcare Provider Details

I. General information

NPI: 1164289831
Provider Name (Legal Business Name): ANTHONY MICHAEL MALAFRONTE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 DANBURY RD
NEW MILFORD CT
06776-4315
US

IV. Provider business mailing address

337 DANBURY RD
NEW MILFORD CT
06776-4315
US

V. Phone/Fax

Practice location:
  • Phone: 860-354-6575
  • Fax: 860-498-4531
Mailing address:
  • Phone: 860-354-6575
  • Fax: 860-498-4531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number495
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: