Healthcare Provider Details

I. General information

NPI: 1235334913
Provider Name (Legal Business Name): JULIE LYNN CANTATORE-FRANCIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CORPORATE DR SUITE 386
SHELTON CT
06484-6211
US

IV. Provider business mailing address

4 CORPORATE DR
SHELTON CT
06484-6211
US

V. Phone/Fax

Practice location:
  • Phone: 203-538-5682
  • Fax: 203-538-5685
Mailing address:
  • Phone: 203-538-5682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number051588
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License Number051588
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: