Healthcare Provider Details

I. General information

NPI: 1710966403
Provider Name (Legal Business Name): DARREN ALLEN WINKLER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 09/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 KENNEDY DR STE L103
TORRINGTON CT
06790-7202
US

IV. Provider business mailing address

777 ECHO LAKE RD UNIT F
WATERTOWN CT
06795-6618
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-1900
  • Fax:
Mailing address:
  • Phone: 860-274-1773
  • Fax: 860-945-6820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number000844
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: