Provider Demographics
NPI:1942271739
Name:DE FIGUEIREDO, JOHN MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MANUEL
Last Name:DE FIGUEIREDO
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: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:203-272-5124
Practice Address - Street 1:1973 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410
Practice Address - Country:US
Practice Address - Phone:203-272-9628
Practice Address - Fax:203-272-5124
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT233742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001233741Medicaid
CT260004450Medicare PIN
B84041Medicare UPIN
CT001233741Medicaid
P00289749Medicare PIN