Provider Demographics
NPI:1275574840
Name:HARRIS, DARCY ANN (DO)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:ANN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PINE NEEDLE DR
Mailing Address - Street 2:C/O IHOR PONOMARENKO
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-2900
Mailing Address - Country:US
Mailing Address - Phone:203-924-6778
Mailing Address - Fax:
Practice Address - Street 1:267 GRANT ST
Practice Address - Street 2:DEPT OF EMERGENCY MEDICINE, BRIDGEPORT HOSPITAL
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-2805
Practice Address - Country:US
Practice Address - Phone:203-384-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT044297207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine