person
Mithun Sivadasan
Foot & Ankle Surgery Podiatrist in Ansonia, Connecticut
NPI 1912351594

Mithun Sivadasan is a Foot & Ankle Surgery Podiatrist based in Garden City, CT and is specialized in Foot & Ankle Surgery. Mithun Sivadasan practices in Ansonia, CT. The NPI Number for Mithun Sivadasan is 1912351594 and holds a License No. 1047 (Connecticut).

The current practice location address for Mithun Sivadasan is 364 E Main St, Ansonia, CT and can be reached out via phone at 203-734-4806. You can also correspond with Mithun Sivadasan through the mailing address at 370 OLD COUNTRY RD, GARDEN CITY, NY - 11530-1702 (mailing address contact number: 718-920-4321).

Location: 364 E Main St, Ansonia, CT, 11530-1702
person
Provider Profile Details
NPI Number
1912351594
Provider Name
Mithun Sivadasan
Credential
Provider Entity Type
Individual
Gender
Male
Address
364 E Main St, Ansonia, CT, 11530-1702
Phone Number
203-734-4806
Fax Number
Provider Enumeration Date
04/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
364 E Main St
City
State
Zip
06401-1904
Phone Number
203-734-4806
Fax Number
person
Provider Business Mailing Address Details
Address
370 Old Country Rd
City
State
Zip
11530-1702
Phone Number
718-920-4321
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
1047 (Connecticut)
Definition
Definition to come...
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