Provider Demographics
NPI:1780737643
Name:TRAMONDO, CHRISTINE (RPT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:TRAMONDO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CAWDOR BURN RD
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-3601
Mailing Address - Country:US
Mailing Address - Phone:203-775-2623
Mailing Address - Fax:
Practice Address - Street 1:8 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6147
Practice Address - Country:US
Practice Address - Phone:203-744-7960
Practice Address - Fax:203-792-2091
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2828174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist