Provider Demographics
NPI:1265773139
Name:VERA, JAMES M (RESPIRATORY)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:VERA
Suffix:
Gender:M
Credentials:RESPIRATORY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-4011
Mailing Address - Country:US
Mailing Address - Phone:203-565-9936
Mailing Address - Fax:
Practice Address - Street 1:84 PROGRESS LN
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-3863
Practice Address - Country:US
Practice Address - Phone:203-753-7778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-02
Last Update Date:2013-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0018852278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health