Healthcare Provider Details

I. General information

NPI: 1548610454
Provider Name (Legal Business Name): EROL ERI VERTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 EAST AVE STE 3K
NORWALK CT
06851-5735
US

IV. Provider business mailing address

148 EAST AVE STE 3K
NORWALK CT
06851-5735
US

V. Phone/Fax

Practice location:
  • Phone: 617-276-2952
  • Fax:
Mailing address:
  • Phone: 203-785-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number267595
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number64952
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: