Provider Demographics
NPI:1003812611
Name:LAPOINTE, THOMAS GARY (DPM)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GARY
Last Name:LAPOINTE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 CENTER ST
Mailing Address - Street 2:APT B6
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-4301
Mailing Address - Country:US
Mailing Address - Phone:203-764-0137
Mailing Address - Fax:
Practice Address - Street 1:68 UPSON AVE
Practice Address - Street 2:APT B6
Practice Address - City:BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06037-1342
Practice Address - Country:US
Practice Address - Phone:203-764-0137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0677213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4174801Medicaid
CT480000710Medicare PIN
CT4174801Medicaid
CT5564120001Medicare NSC