Provider Demographics
NPI:1467589580
Name:FIGUEROA, AWILDA (DC)
Entity Type:Individual
Prefix:DR
First Name:AWILDA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:AWILDA
Other - Middle Name:
Other - Last Name:FIGUEROA-BRIDGHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:56 WAKELEE AVENUE EXT
Mailing Address - Street 2:APT # 6
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-3966
Mailing Address - Country:US
Mailing Address - Phone:203-400-7213
Mailing Address - Fax:
Practice Address - Street 1:183 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-2026
Practice Address - Country:US
Practice Address - Phone:203-933-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor