Provider Demographics
NPI:1467747279
Name:FILIP, JOHN DAVID (MSW)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DAVID
Last Name:FILIP
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BIRCH LN
Mailing Address - Street 2:UNIT C
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-1910
Mailing Address - Country:US
Mailing Address - Phone:203-687-7769
Mailing Address - Fax:
Practice Address - Street 1:15 HOSLEY AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2523
Practice Address - Country:US
Practice Address - Phone:203-936-9254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker