Healthcare Provider Details

I. General information

NPI: 1407876733
Provider Name (Legal Business Name): WILLIAM JOSEPH GARRITY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 11/16/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230B MOUNTAIN RD
SUFFIELD CT
06078-2094
US

IV. Provider business mailing address

230B MOUNTAIN RD
SUFFIELD CT
06078-2094
US

V. Phone/Fax

Practice location:
  • Phone: 860-668-4767
  • Fax: 860-668-6600
Mailing address:
  • Phone: 860-668-4767
  • Fax: 860-668-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number000533
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number000533
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: