DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DANIEL O SOUTHERN MD

MEDICARE: DANIEL O SOUTHERN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician042845CT
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician042845CT
3208VP0000XPain Medicine Physician042845CT

General Provider Information

NPI Number : 1154346302
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL O SOUTHERN MD
Provider Business Mailing Address
First Line : 91 EAST AVE STE 1A
Second Line :
City : NORWALK
State : CT
Zip : 06851-5020
Country : US
Telephone Number : 203-456-5717
Fax Number : 203-445-6184
Provider Business Practice Location Address
First Line : 91 EAST AVE STE 1A
Second Line :
City : NORWALK
State : CT
Zip : 06851-5020
Country : US
Telephone Number : 203-456-5717
Fax Number : 203-445-6184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 12/03/2025

Similar Medicare Providers

1609872225 — MRS. FRANCES BECKER LCSW
Practice Location Address:
91 EAST AVE
NORWALK, CT
06851-5020
Practice Phone: 203-855-7768
Practice Fax: 203-276-7858
1245287630 — MS. STEPHANIE CARROW L.C.S.W.
Practice Location Address:
91 EAST AVE , STE 2
NORWALK, CT
06851-5020
Practice Phone: 917-613-6687
Practice Fax:
1588734107 — DR. RICK D ROSEN M.D.
Practice Location Address:
91 EAST AVE
NORWALK, CT
06851-5020
Practice Phone: 203-899-0000
Practice Fax: 203-899-0020
1013077387 — MS. JILL C. DELANEY LCSW
Practice Location Address:
91 EAST AVE
NORWALK, CT
06851-5020
Practice Phone: 203-613-4111
Practice Fax:
1720144538 — MRS. JILL MEYERS PAKNIA LCSW
Practice Location Address:
91 EAST AVE
NORWALK, CT
06851-5020
Practice Phone: 203-998-5279
Practice Fax: 866-585-4617
1386791143 — DR. CHUNG K SHIN M.D.
Practice Location Address:
91 EAST AVE
NORWALK, CT
06851-5020
Practice Phone: 203-855-9806
Practice Fax: 203-855-1135

Directions to “ DANIEL O SOUTHERN MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.