Healthcare Provider Details

I. General information

NPI: 1457420176
Provider Name (Legal Business Name): JOSHUA M. HURWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 01/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

761 MAIN AVE SUITE 200
NORWALK CT
06851-1080
US

IV. Provider business mailing address

761 MAIN AVE SUITE 200
NORWALK CT
06851-1080
US

V. Phone/Fax

Practice location:
  • Phone: 203-750-7400
  • Fax: 203-846-9579
Mailing address:
  • Phone: 203-750-7400
  • Fax: 203-846-9579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number44173
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: