Healthcare Provider Details

I. General information

NPI: 1194727958
Provider Name (Legal Business Name): EDUARDO FIGUEROA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2499 MAIN ST
STRATFORD CT
06615-5843
US

IV. Provider business mailing address

2499 MAIN ST
STRATFORD CT
06615-5843
US

V. Phone/Fax

Practice location:
  • Phone: 203-386-9600
  • Fax: 203-386-9609
Mailing address:
  • Phone: 203-386-9600
  • Fax: 203-386-9609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036489
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: