Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 5060 | CT |
NPI | 1104918697 |
---|---|
Provider Name | David Honig |
First Address | Norwalk, CT 06851-5014 |
Second Address | Norwalk, CT 06851-5014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |