Devita, Laura P

Devita, Laura P is an individual health care provider with primary practice located at 90 Locust Avenue , Danbury CT 06810. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Devita, Laura P can be contacted via phone (203) 792-5005.

Contact Information

Primary practice address
90 Locust Avenue Danbury CT 06810
Fax: (203) 791-9899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 039458 Connecticut

Profile Details

NPI number 1609978774
LBN Legal business name Devita, Laura P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609978774 NPPES
Connecticut MEDICAID 001394585

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