Healthcare Provider Details

I. General information

NPI: 1801806799
Provider Name (Legal Business Name): TARALYN CRONIN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TARALYN CRONIN-WEIR D.O.

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 WEST AVE
NORWALK CT
06850-4034
US

IV. Provider business mailing address

4637 MAIN STREET BROOKSIDE PEDIATRICS SUITE #4
BRIDGEPORT CT
06606
US

V. Phone/Fax

Practice location:
  • Phone: 203-855-3632
  • Fax: 203-855-3632
Mailing address:
  • Phone: 203-374-3001
  • Fax: 203-372-6710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number043562
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number043562
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: