Provider Demographics
NPI:1922682558
Name:JOHN M DE FIGUEIREDO MD LLC
Entity Type:Organization
Organization Name:JOHN M DE FIGUEIREDO MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DE FIGUEIREDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-272-9628
Mailing Address - Street 1:PO BOX 573
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-0573
Mailing Address - Country:US
Mailing Address - Phone:203-272-9628
Mailing Address - Fax:
Practice Address - Street 1:450 HERITAGE RD STE 3E
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-3878
Practice Address - Country:US
Practice Address - Phone:203-272-9628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty