Healthcare Provider Details

I. General information

NPI: 1942117718
Provider Name (Legal Business Name): ANTHONY E. D'UVA PSYA.D., RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

378 HIGHLAND AVE
WATERBURY CT
06708-3443
US

IV. Provider business mailing address

378 HIGHLAND AVE
WATERBURY CT
06708-3443
US

V. Phone/Fax

Practice location:
  • Phone: 203-910-3317
  • Fax:
Mailing address:
  • Phone: 203-910-3317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number213738
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: