Healthcare Provider Details

I. General information

NPI: 1639565195
Provider Name (Legal Business Name): EUGENIA GOLDA VOLKIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EUGENIA GOLDA NACHBER MD

II. Dates (important events)

Enumeration Date: 04/11/2015
Last Update Date: 08/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 DANBURY RD
WILTON CT
06897
US

IV. Provider business mailing address

55 DANBURY RD
WILTON CT
06897-4427
US

V. Phone/Fax

Practice location:
  • Phone: 203-762-3363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number61828
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: