Healthcare Provider Details

I. General information

NPI: 1306937602
Provider Name (Legal Business Name): ARTHUR GEORGE D'SOUZA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 DANBURY RD
WILTON CT
06897
US

IV. Provider business mailing address

249 DANBURY RD
WILTON CT
06897-4075
US

V. Phone/Fax

Practice location:
  • Phone: 203-762-3353
  • Fax: 203-761-8563
Mailing address:
  • Phone: 203-762-3353
  • Fax: 203-761-8563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number015934
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number015934
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: