Active NPIIndividual provider

Nicholas Condulis, MD

Pediatrics in Essex, Connecticut

NPI Number1255344966
Practice location
One Wildwood Medical Center, Essex, CT 06426
Fax
860-767-1803
Last updated
July 8, 2007

Nicholas Condulis is a Pediatrics based in Essex, CT. Nicholas Condulis practices in Essex, CT and has the professional credentials of MD. The NPI Number for Nicholas Condulis is 1255344966 and holds a License No. 032940 (CT). The current practice location address for Nicholas Condulis is One Wildwood Medical Center, Essex, CT 06426 and can be reached out via phone at 860-767-0168 and via fax at 860-767-1803.

Provider Profile Details

NPI Number
1255344966
Provider Name
Nicholas Condulis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
One Wildwood Medical Center, Essex, CT 06426
Phone Number
860-767-0168
Fax Number
860-767-1803
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
One Wildwood Medical Center
Essex, CT 06426
City
Essex
Zip
06426
Phone Number
860-767-0168
Fax Number
860-767-1803
Essex, CT 06426Get directions →

Provider Business Mailing Address Details

Address
One Wildwood Medical Center
Essex, CT 06426
City
Essex
State
CT
Zip
06426
Phone Number
860-767-0168
Fax Number
860-767-1803

License Information

License Number
032940
License State
CT
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicholas Condulis, MD?

The NPI number of Nicholas Condulis, MD is 1255344966. It was assigned on August 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Nicholas Condulis, MD?

Nicholas Condulis, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 032940.

Where does Nicholas Condulis, MD practice?

The practice location is One Wildwood Medical Center, Essex, CT 06426. The office can be reached at 860-767-0168 (phone) or 860-767-1803 (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 1255344966 directly on the NPPES registry website.

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