Healthcare Provider Details

I. General information

NPI: 1295175222
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL PINTO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2013
Last Update Date: 07/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 NORTH MOUNTAIN ROAD
NEW BRITAIN CT
06053
US

IV. Provider business mailing address

75 NORTH MOUNTAIN ROAD
NEW BRITIAN CT
06053
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-6364
  • Fax: 860-224-6345
Mailing address:
  • Phone: 860-224-6364
  • Fax: 860-224-6345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: