Provider Demographics
NPI:1245293158
Name:VAN ESS, DAVID MATTHEW (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MATTHEW
Last Name:VAN ESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PARROTT DRIVE
Mailing Address - Street 2:UNIT 1601
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-7701
Mailing Address - Country:US
Mailing Address - Phone:203-225-6299
Mailing Address - Fax:
Practice Address - Street 1:100 PARROTT DRIVE
Practice Address - Street 2:UNIT 1601
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-7701
Practice Address - Country:US
Practice Address - Phone:203-225-6299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT025293207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology