Healthcare Provider Details

I. General information

NPI: 1063358331
Provider Name (Legal Business Name): WHITMAN SENIOR HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 RESEARCH DR STE 2
SHELTON CT
06484-6288
US

IV. Provider business mailing address

5 RESEARCH DR STE 2
SHELTON CT
06484-6288
US

V. Phone/Fax

Practice location:
  • Phone: 203-901-2493
  • Fax: 866-497-2991
Mailing address:
  • Phone: 203-901-2493
  • Fax: 866-497-2991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD FEIFER
Title or Position: OWNER
Credential:
Phone: 203-901-2493