DANIEL O SOUTHERN MD
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Pain Medicine
Provider Information
- NPI Number
1154346302- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 91 EAST AVE STE 1A, NORWALK, CT, 068515020
- Phone
- (203) 456-5717
- Fax
- (203) 445-6184
Specialties & Taxonomies
Physical Medicine & Rehabilitation
License: CT #042845
Physical Medicine & Rehabilitation, Pain Medicine
Primary License: CT #042845
Unknown
License: CT #042845