IndividualActive
Michael Waddington, DO
NPI 1205043486 · Neuromusculoskeletal Medicine & OMM Physician · Glastonbury, CT
Provider details
- NPI number
- 1205043486
- Entity type
- Individual
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101016862 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
78 Eastern Blvd Ste 6
Glastonbury, CT 06033-4325
Phone: (860) 993-3516
Fax: (860) 430-6885
Approximate (ZIP-level) locationGet directions
Mailing address
78 Eastern Blvd Ste 6
Glastonbury, CT 06033-4325
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2025-02-05
- Certified
- 2025-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.