Healthcare Provider Details

I. General information

NPI: 1972785319
Provider Name (Legal Business Name): TORMOD SCHUMACHER WESTVIK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 01/26/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST T-209
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

20 YORK ST T-209
NEW HAVEN CT
06510-3220
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-2259
  • Fax: 203-688-5599
Mailing address:
  • Phone: 203-688-2259
  • Fax: 203-688-5599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number79766
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: