Andrea Radebold, MD
Internal Medicine in Branford, Connecticut
1942264288- Practice location
- 960 Main St, Branford, CT 06405-3730
- Phone
- 203-488-6358
- Fax
- 203-481-5327
- Last updated
- February 3, 2022
Andrea Radebold is an Internal Medicine based in Branford, CT. Andrea Radebold practices in Branford, CT and has the professional credentials of MD. The NPI Number for Andrea Radebold is 1942264288 and holds a License No. 042296 (CT). The current practice location address for Andrea Radebold is 960 Main St, Branford, CT 06405-3730 and can be reached out via phone at 203-488-6358 and via fax at 203-481-5327.
Provider Profile Details
- NPI Number
- 1942264288
- Provider Name
- Andrea Radebold
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 960 Main St, Branford, CT 06405-3730
- Phone Number
- 203-488-6358
- Fax Number
- 203-481-5327
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 13, 2006
- Last Update Date
- February 3, 2022
- Certification Date
- February 3, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 960 Main St
Branford, CT 06405-3730 - City
- Branford
- State
- Connecticut
- Zip
- 06405-3730
- Phone Number
- 203-488-6358
- Fax Number
- 203-481-5327
Provider Business Mailing Address Details
- Address
- 960 Main St
Branford, CT 06405-3730 - City
- Branford
- State
- CT
- Zip
- 06405-3730
- Phone Number
- 203-488-6358
- Fax Number
- 203-481-5327
License Information
- License Number
- 042296
- License State
- CT
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Andrea Radebold, MD?
The NPI number of Andrea Radebold, MD is 1942264288. It was assigned on April 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Andrea Radebold, MD?
Andrea Radebold, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 042296.
Where does Andrea Radebold, MD practice?
The practice location is 960 Main St, Branford, CT 06405-3730. The office can be reached at 203-488-6358 (phone) or 203-481-5327 (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 1942264288 directly on the NPPES registry website.