Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 047264 | CT |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 047264 | CT |
NPI | 1053526384 |
---|---|
Provider Name | Dr. John Patrick Dunleavy |
First Address | Danbury, CT 06810-6268 |
Second Address | Danbury, CT 06810-4042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 01/05/2017 |