Healthcare Provider Details

I. General information

NPI: 1396761458
Provider Name (Legal Business Name): CLAUDIO P MILITE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 HARTFORD TPKE SUITE 210
VERNON CT
06066-4784
US

IV. Provider business mailing address

281 HARTFORD TPKE STE 201
VERNON CT
06066-4759
US

V. Phone/Fax

Practice location:
  • Phone: 860-872-8563
  • Fax: 860-870-4857
Mailing address:
  • Phone: 860-872-8563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number31726
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number031726
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: