Provider Demographics
NPI:1083214407
Name:NEUROPATHY TREATMENT CENTER LLC
Entity Type:Organization
Organization Name:NEUROPATHY TREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTZER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-948-8127
Mailing Address - Street 1:132 FEDERAL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4047
Mailing Address - Country:US
Mailing Address - Phone:203-730-1165
Mailing Address - Fax:855-552-3776
Practice Address - Street 1:132 FEDERAL RD STE 103
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4047
Practice Address - Country:US
Practice Address - Phone:203-730-1165
Practice Address - Fax:855-552-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty