| Doctor Name: | RORY VINCENT CONDON |
| NPI Number: | 1023464138 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 112100 |
| Business Practice Address: | 66 Chestnut St Branford, CT - 064053749 |
| Business Phone Number: | 2038870604 |
| Business Fax Number: | |
| Mailing Address: | 66 Chestnut St, BRANFORD |
| State: | CT |
| Postal Code: | 064053749 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2016 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 112100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |