Healthcare Provider Details

I. General information

NPI: 1871641076
Provider Name (Legal Business Name): VAUGHN M DUNN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 EAST AVE SUITE 2-I
NORWALK CT
06851-5721
US

IV. Provider business mailing address

148 EAST AVE SUITE 2-I
NORWALK CT
06851-5721
US

V. Phone/Fax

Practice location:
  • Phone: 203-866-8121
  • Fax: 203-866-4193
Mailing address:
  • Phone: 203-866-8121
  • Fax: 203-866-4193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number017342
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number017342
License Number StateCT

VIII. Authorized Official

Name: DR. VAUGHN M DUNN
Title or Position: PRESIDENT
Credential: MD
Phone: 203-866-8121