Samantha Aldred, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · New Canaan, CT
NPI 1194026427 · NPPES record last updated Nov 3, 2010
Key facts
- NPI
- 1194026427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 194126 (NY)
- Practice address
- 36 Reeder LN
New Canaan, CT 06840-3009 - Phone
- (203) 801-9515
- NPI assigned
- Nov 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G83908 | CA | MD | Diagnostic Radiology Physician |
| 194126 | NY | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 194126 | NY | Yes |
| Diagnostic Radiology Physician | 2085R0202X | G83908 | CA |
Addresses
Primary practice location
36 Reeder LN
New Canaan, CT 06840-3009
Mailing address
36 Reeder LN
New Canaan, CT 06840-3009
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All providers in New Canaan, CT · Diagnostic Radiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.