Healthcare Provider Details
I. General information
NPI: 1275912818
Provider Name (Legal Business Name): DAVID CHRISTOPHER AUGHTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/28/2015
Last Update Date: 07/28/2020
Certification Date: 07/28/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
538 LITCHFIELD ST STE 201
TORRINGTON CT
06790-6669
US
IV. Provider business mailing address
100 GRAND ST STE E119
NEW BRITAIN CT
06052-2016
US
V. Phone/Fax
- Phone: 860-489-7017
- Fax:
- Phone: 860-224-5990
- Fax: 203-573-6707
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 66474 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: