Basic Information
Provider Information | |||||||||
NPI: | 1578660262 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | FIGURA | ||||||||
FirstName: | ILONA | ||||||||
MiddleName: |   | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 18 SUFFOLK RD | ||||||||
Address2: |   | ||||||||
City: | SOUTH GLASTONBURY | ||||||||
State: | CT | ||||||||
PostalCode: | 060732625 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8606336822 | ||||||||
FaxNumber: | 8605607706 | ||||||||
Practice Location | |||||||||
Address1: | 71 HAYNES ST | ||||||||
Address2: |   | ||||||||
City: | MANCHESTER | ||||||||
State: | CT | ||||||||
PostalCode: | 060404131 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8605336595 | ||||||||
FaxNumber: | 8605336594 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 09/17/2006 | ||||||||
LastUpdateDate: | 02/05/2013 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | Y | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 027930 | CT | Y |   | Hospitals | General Acute Care Hospital |   | 207R00000X | 27930 | CT | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 208M00000X | 27930 | CT | N |   | Allopathic & Osteopathic Physicians | Hospitalist |   |
No ID Information.