Ciardella, Anthony Dominick
Ciardella, Anthony Dominick is an individual health care provider with primary practice located at 360 14 N Main St , Southington CT 06489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ciardella, Anthony Dominick can be contacted via phone (860) 621-6759.Contact Information
Primary practice address
360 14 N Main St
Southington CT 06489
Phone: (860) 621-6759
Fax: (860) 621-0117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 024620 | Connecticut |
Profile Details
| NPI number | 1184784126 |
|---|---|
| LBN Legal business name | Ciardella, Anthony Dominick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184784126 | NPPES |
| Connecticut | MEDICAID | 001246206 |
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