Provider Demographics
NPI:1760958029
Name:SPIRIDIGLIOZZI, SCOTT (ND)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:SPIRIDIGLIOZZI
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 DANBURY RD STE D12
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4142
Mailing Address - Country:US
Mailing Address - Phone:914-924-9475
Mailing Address - Fax:
Practice Address - Street 1:109 DANBURY RD STE D12
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4142
Practice Address - Country:US
Practice Address - Phone:914-924-9475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT632175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath