Provider Demographics
NPI:1669421665
Name:BABIGIAN, ANTHONY (DPM)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:BABIGIAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-4034
Mailing Address - Country:US
Mailing Address - Phone:203-838-0442
Mailing Address - Fax:203-838-9431
Practice Address - Street 1:520 WEST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-4034
Practice Address - Country:US
Practice Address - Phone:203-838-0442
Practice Address - Fax:203-838-9431
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000815213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1669421665OtherNPI
CT480000981OtherMEDICARE PROVIDER ID
CT1669421665OtherNPI