Healthcare Provider Details

I. General information

NPI: 1265041123
Provider Name (Legal Business Name): ERIC DWIGHT ENGLISH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 BOSTON POST RD STE 202
ORANGE CT
06477-3229
US

IV. Provider business mailing address

531 BELDEN HILL RD
WILTON CT
06897-4222
US

V. Phone/Fax

Practice location:
  • Phone: 203-799-1252
  • Fax: 203-799-3252
Mailing address:
  • Phone: 203-984-7661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9894
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number122804
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: