Provider Demographics
NPI:1184649667
Name:DANBURY HOSPITAL
Entity Type:Organization
Organization Name:DANBURY HOSPITAL
Other - Org Name:NELSON GELFMAN, MD, DIALYSIS UNIT
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF PRIVACY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-739-6430
Mailing Address - Street 1:24 HOSPITAL AVE
Mailing Address - Street 2:NELSON GELFMAN, MD., DIALYSIS UNIT
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6099
Mailing Address - Country:US
Mailing Address - Phone:203-797-7382
Mailing Address - Fax:
Practice Address - Street 1:24 HOSPITAL AVE
Practice Address - Street 2:NELSON GELFMAN, MD., DIALYSIS UNIT
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6099
Practice Address - Country:US
Practice Address - Phone:203-797-7382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0039261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
07-2308Medicare ID - Type Unspecified