Healthcare Provider Details

I. General information

NPI: 1982081832
Provider Name (Legal Business Name): ANTHONY SAMPINO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2015
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 MAIN ST
WESTPORT CT
06880-3210
US

IV. Provider business mailing address

215 MAIN ST
WESTPORT CT
06880-3210
US

V. Phone/Fax

Practice location:
  • Phone: 203-651-5090
  • Fax:
Mailing address:
  • Phone: 203-651-5090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO00961
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number57042
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number57042
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number57042
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: