Individual provider · Type 1 NPI
Edward Halstead, MD
Addiction Medicine (Psychiatry & Neurology) Physician · Derby, CT
NPI number
1316967649
Active
Practice location
130 Division St
Derby, CT 06418-1326
Fax (203) 732-7177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | 019479 (CT) |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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About NPI 1316967649
Edward Halstead, MD's National Provider Identifier is 1316967649, issued on Jul 20, 2006. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Derby, CT. The record was last updated on Jul 8, 2007.