Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 50 | CT |
NPI | 1053465609 |
---|---|
Provider Name | Dr. James A. Byron |
First Address | West Hartford, CT 06119-2128 |
Second Address | West Hartford, CT 06119-2128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 08/07/2007 |