Provider Demographics
NPI:1497982680
Name:LAFFIN, ANTON E (MD)
Entity Type:Individual
Prefix:
First Name:ANTON
Middle Name:E
Last Name:LAFFIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 WASHINGTON BLVD
Mailing Address - Street 2:STEVE 440
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-2216
Mailing Address - Country:US
Mailing Address - Phone:203-348-2614
Mailing Address - Fax:
Practice Address - Street 1:1055 WASHINGTON BLVD
Practice Address - Street 2:STE 440
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-2216
Practice Address - Country:US
Practice Address - Phone:203-348-2614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267745207L00000X
CT51891207L00000X
IAR8609207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology