Provider Demographics
NPI:1992717250
Name:WESTBROOK, TORY Z (MD)
Entity type:Individual
Prefix:DR
First Name:TORY
Middle Name:Z
Last Name:WESTBROOK
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:PO BOX 2477
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-5804
Mailing Address - Country:US
Mailing Address - Phone:860-347-6971
Mailing Address - Fax:860-664-1982
Practice Address - Street 1:114 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:CT
Practice Address - Zip Code:06413-2112
Practice Address - Country:US
Practice Address - Phone:860-664-0787
Practice Address - Fax:860-664-1982
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT039082207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTH47372Medicare UPIN