Basic Information
| Provider Information | |||||||||
| NPI: | 1386625432 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCOLA | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 195 EASTERN BLVD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | GLASTONBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060331208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602464260 | ||||||||
| FaxNumber: | 8604309770 | ||||||||
| Practice Location | |||||||||
| Address1: | 195 EASTERN BLVD | ||||||||
| Address2: | # 201 | ||||||||
| City: | GLASTONBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060331208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602464260 | ||||||||
| FaxNumber: | 8604309770 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2005 | ||||||||
| LastUpdateDate: | 07/29/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 46780 | CT | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | D400000701 | 01 | MEDICARE ID | OTHER |