Basic Information
| Provider Information | |||||||||
| NPI: | 1841435153 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OREN | ||||||||
| FirstName: | DAN | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 658 | ||||||||
| Address2: | |||||||||
| City: | ANSONIA | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064010658 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037362905 | ||||||||
| FaxNumber: | 2037368597 | ||||||||
| Practice Location | |||||||||
| Address1: | 435 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | ANSONIA | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064011964 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037362905 | ||||||||
| FaxNumber: | 2037368597 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2008 | ||||||||
| LastUpdateDate: | 12/15/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 027389 | CT | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.