Healthcare Provider Details

I. General information

NPI: 1528034048
Provider Name (Legal Business Name): ADAM EDWARD VELLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MAPLE ST
NORWALK CT
06850-3815
US

IV. Provider business mailing address

11 ABBOTTS LN
WESTPORT CT
06880-2138
US

V. Phone/Fax

Practice location:
  • Phone: 203-852-2000
  • Fax: 212-426-5083
Mailing address:
  • Phone: 917-608-6586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number80251
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: