Provider Demographics
NPI:1477586584
Name:WERDIGER, NORMAN S (MD)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:S
Last Name:WERDIGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 CHURCH STREET SOUTH
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519
Mailing Address - Country:US
Mailing Address - Phone:203-624-7893
Mailing Address - Fax:203-624-8030
Practice Address - Street 1:2 CHURCH ST S
Practice Address - Street 2:SUITE 303
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1717
Practice Address - Country:US
Practice Address - Phone:203-624-7893
Practice Address - Fax:203-624-8030
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2016-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0236552084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB83988Medicare UPIN
CT130000091Medicare ID - Type UnspecifiedPROVIDER NUMBER