Healthcare Provider Details

I. General information

NPI: 1790959567
Provider Name (Legal Business Name): CHRISTOPHER ANTHONY TORMEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

576 CHAPEL ST APT 6
NEW HAVEN CT
06511-7056
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-2441
  • Fax:
Mailing address:
  • Phone: 203-752-1399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License Number046390
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: