Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 0677 | CT |
NPI | 1003812611 |
---|---|
Provider Name | Dr. Thomas Gary Lapointe |
First Address | West Haven, CT 06516-4301 |
Second Address | Berlin, CT 06037-1342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 02/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4174801 | (05) | CT |
U61784 | (02) | CT |