Daniel O Southern, MD
Physical Medicine & Rehabilitation, Pain Medicine in Norwalk, Connecticut
1154346302- Practice location
- 91 East Ave Ste 1A, Norwalk, CT 06851-5020
- Phone
- 203-456-5717
- Fax
- 203-445-6184
- Last updated
- December 15, 2025
Daniel O Southern is a Physical Medicine & Rehabilitation, Pain Medicine based in Norwalk, CT. Daniel O Southern practices in Norwalk, CT and has the professional credentials of MD. The NPI Number for Daniel O Southern is 1154346302 and holds a License No. 042845 (CT). The current practice location address for Daniel O Southern is 91 East Ave Ste 1A, Norwalk, CT 06851-5020 and can be reached out via phone at 203-456-5717 and via fax at 203-445-6184.
Provider Profile Details
- NPI Number
- 1154346302
- Provider Name
- Daniel O Southern
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 91 East Ave Ste 1A, Norwalk, CT 06851-5020
- Phone Number
- 203-456-5717
- Fax Number
- 203-445-6184
- Primary Taxonomy
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 12, 2006
- Last Update Date
- December 15, 2025
- Certification Date
- December 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 91 East Ave Ste 1A
Norwalk, CT 06851-5020 - City
- Norwalk
- State
- Connecticut
- Zip
- 06851-5020
- Phone Number
- 203-456-5717
- Fax Number
- 203-445-6184
Provider Business Mailing Address Details
- Address
- 91 East Ave Ste 1A
Norwalk, CT 06851-5020 - City
- Norwalk
- State
- CT
- Zip
- 06851-5020
- Phone Number
- 203-456-5717
- Fax Number
- 203-445-6184
License Information
- License Number (1)
- 042845
- License State (1)
- CT
- Taxonomy (1)
- Physical Medicine & Rehabilitation · 208100000X
- License Number (2)
- 042845
- License State (2)
- CT
- Taxonomy (2)
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X · Primary
- License Number (3)
- 042845
- License State (3)
- CT
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Medicine & Rehabilitation, Pain Medicine providers near Norwalk, CT
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Frequently Asked Questions
What is the NPI number of Daniel O Southern, MD?
The NPI number of Daniel O Southern, MD is 1154346302. It was assigned on July 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Daniel O Southern, MD?
Daniel O Southern, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation, Pain Medicine (code 2081P2900X), licensed in CT under license number 042845.
Where does Daniel O Southern, MD practice?
The practice location is 91 East Ave Ste 1A, Norwalk, CT 06851-5020. The office can be reached at 203-456-5717 (phone) or 203-445-6184 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154346302 directly on the NPPES registry website.