MS. THERESA INTEGRAL DY DJAMA


Address: 64 Black Rock Ave, Bridgeport, CT 06605-1200
Phone: 2032783210

MS. THERESA INTEGRAL DY DJAMA (NPI# 1265828818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265828818
Entity Type Individual
Full Name MS. THERESA INTEGRAL DY DJAMA
Credential DPM
Practice Address 64 Black Rock Ave
Bridgeport
CT 06605-1200
Practice Telephone 2032783210
Mailing Telephone 2035795000
Enumeration Date 2015-04-10
Last Update Date 2019-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 1073 CT Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 64 BLACK ROCK AVE
City BRIDGEPORT
State CT
Zip Code 06605-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649269705 Kris Kotsay Dentist 64 Black Rock Ave, Bridgeport, CT 06605-1200 2005-10-20
1063942555 Keitra Thompson Nurse Practitioner 64 Black Rock Ave, Bridgeport, CT 06605-1200 2017-06-15
1497283295 Jenifer Schmitz Nurse Practitioner 64 Black Rock Ave, Bridgeport, CT 06605 2017-05-24
1093256091 Miriam Feinstein Physician Assistant 64 Black Rock Ave, Bridgeport, CT 06605-1200 2017-03-10
1154722403 Marlene St Juste Nurse Practitioner 64 Black Rock Ave, Bridgeport, CT 06605-1200 2014-09-05
1245647486 Lissette I Cruz Physician Assistant 64 Black Rock Ave, Bridgeport, CT 06605-1200 2014-07-21
1891123220 Nicole Callagy Nurse Practitioner 64 Black Rock Ave, Bridgeport, CT 06605-1200 2013-10-22
1063853638 Aswani Daraboina Internal Medicine 64 Black Rock Ave, Bridgeport, CT 06605-1200 2013-07-11
1932479409 Optimus Health Care Inc Clinic/Center 64 Black Rock Ave, Bridgeport, CT 06605-1200 2011-12-30
1912141136 Luz Evelyn Omondi Internal Medicine 64 Black Rock Ave, Bridgeport, CT 06605-1200 2009-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497312276 Stacy-ann Thompson-grant Social Worker 170 Bennet T Street, Bridgeport, CT 06605 2019-05-28
1720502149 Sheree Amankwah Counselor 170 Bennett Street, Bridgeport, CT 06605 2017-07-27
1417477324 Aracelis Robertson Case Manager/Care Coordinator 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 2017-06-21
1699158170 Cortney Davis Physician Assistant 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 2015-07-02
1083020051 Douglas Mccoy Nurse Practitioner 46 Albion St., Bridgeport, CT 06605 2014-07-10
1932513785 Hallie Claire Riggs Social Worker 1730 State St Ext, Bridgeport, CT 06605 2014-06-19
1831518513 Yvonne Booy Counselor 46 Albion Street, Bridgeport, CT 06605 2014-04-10
1760556955 Joel W Allen Obstetrics & Gynecology 625 Clinton Ave, Bridgeport, CT 06605 2006-11-20
1316046428 Allen P Schlein Orthopaedic Surgery 650 Clinten Avenue, Bridgeport, CT 06605 2006-09-22
1336127984 Hancock Pharmacy Pharmacy 1557 Fairfield Ave, Bridgeport, CT 06605 2006-01-04
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730367558 Eric A. Levine, Dpm Podiatrist 325 Jewett Ave, Bridgeport, CT 06606-2827 2008-02-04
1750507141 Howard Wayne Harinstein Podiatrist 4695 Main Street, Bridgeport, CT 06606-1802 2007-04-17
1396856548 Mark Alan Schickler Podiatrist 2409 Main St, Bridgeport, CT 06606-5324 2006-08-31
1053326488 Tina Marie Chieco-schwartz Podiatrist 2320 Main St, Bridgeport, CT 06606-5373 2006-07-31
1427304146 Bevan Kurthy Hollingsworth Podiatrist 267 Grant St, Bridgeport, CT 06610-2805 2012-07-31
1649566092 Kristen Mcginness Podiatrist 267 Grant St, Bridgeport, CT 06610-2805 2011-06-23
1750680153 Naomie Legagneur Podiatrist 46 Albion St, Bridgeport, CT 06605-2602 2011-03-24
1457526980 R Daniel Davis & Mark Schickler Family Podiatry Center Podiatrist 2409 Main St, Bridgeport, CT 06606-5324 2008-04-25
1043498009 Howard W Harinstein Podiatrist 4695 Main St, Suite 15, Bridgeport, CT 06606-1802 2008-02-01
1861682122 Sahani C Howie Podiatrist 2409 Main St, Bridgeport, CT 06606-5324 2007-08-01
Find all providers in BRIDGEPORT

Competitor

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City BRIDGEPORT
Zip Code 06605

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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