Active NPIOrganization

Anthony D Ciardella M.d. PC

Internal Medicine in Southington, Connecticut

NPI Number1508065640
Practice location
360-14 N Main St, Southington, CT 06489
Fax
860-621-0117
Last updated
September 12, 2007

Anthony D Ciardella M.d. PC is a healthcare organization based in Southington, CT. Anthony D Ciardella M.d. PC practices in Southington, CT. The NPI Number for Anthony D Ciardella M.d. PC is 1508065640 and holds a License No. 34236 (CT). The current practice location address for Anthony D Ciardella M.d. PC is 360-14 N Main St, Southington, CT 06489 and can be reached out via phone at 860-621-6759 and via fax at 860-621-0117.

Provider Profile Details

NPI Number
1508065640
Provider Name
Anthony D Ciardella M.d. PC
Provider Entity Type
Organization
Address
360-14 N Main St, Southington, CT 06489
Phone Number
860-621-6759
Fax Number
860-621-0117
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Anthony D Ciardella, MD · President · 860-621-6759
Provider Enumeration Date
July 17, 2007
Last Update Date
September 12, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
360-14 N Main St
Southington, CT 06489
Zip
06489
Phone Number
860-621-6759
Fax Number
860-621-0117
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
360-14 N Main St
Southington, CT 06489
City
Southington
State
CT
Zip
06489
Phone Number
860-621-6759
Fax Number
860-621-0117

License Information

License Number (1)
34236
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Primary Care · 363LP2300X
License Number (2)
024620
License State (2)
CT
Taxonomy (2)
Internal Medicine · 207R00000X · 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 Anthony D Ciardella M.d. PC?

The NPI number of Anthony D Ciardella M.d. PC is 1508065640. It was assigned on July 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Anthony D Ciardella M.d. PC?

Anthony D Ciardella M.d. PC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 34236.

Where does Anthony D Ciardella M.d. PC practice?

The practice location is 360-14 N Main St, Southington, CT 06489. The office can be reached at 860-621-6759 (phone) or 860-621-0117 (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 1508065640 directly on the NPPES registry website.

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