Healthcare Provider Details

I. General information

NPI: 1639114457
Provider Name (Legal Business Name): DELLA SCHMID D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 CHURCH HILL RD
NEWTOWN CT
06470-1651
US

IV. Provider business mailing address

19 CHURCH HILL RD
NEWTOWN CT
06470-1651
US

V. Phone/Fax

Practice location:
  • Phone: 203-426-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number981
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: