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Contact Information

DANIEL O SOUTHERN, MD
91 EAST AVE STE 1A
NORWALK, CT06851-5020
 Phone: 203-456-5717
 Fax: 203-445-6184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for DANIEL O SOUTHERN · (Male)

NPI # 1154346302
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 12/15/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 042845
Hospital affiliation(s)
  • STAMFORD HOSPITAL - (Acute Care)
    30 SHELBURNE ROAD
    STAMFORD, CT 06904
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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