Provider Demographics
NPI:1659458370
Name:ROONEY, DAVID (CPO)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:ROONEY
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CORPORATE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-1376
Mailing Address - Country:US
Mailing Address - Phone:203-261-1162
Mailing Address - Fax:203-452-9949
Practice Address - Street 1:2 CORPORATE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-1376
Practice Address - Country:US
Practice Address - Phone:203-261-1162
Practice Address - Fax:203-452-9949
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier