Anthony D Ciardella M.D. PC
Organization Active NPI Internal Medicine Physician · Southington, CT
NPI 1508065640 · NPPES record last updated Sep 12, 2007
Key facts
- NPI
- 1508065640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 024620 (CT)
- Legal business name
- ANTHONY D CIARDELLA M.D. PC
- Practice address
- 360-14 N Main St
Southington, CT 06489 - Phone
- (860) 621-6759
- Fax
- (860) 621-0117
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony D Ciardella, M.D.
- Title
- President
- Phone
- (860) 621-6759
National Provider Directory
Locations
360 N Main St
Ste 14
Southington, CT 06489
Phone (860) 378-0165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 024620 | CT | Yes |
| Primary Care Nurse Practitioner |
363LP2300X | 34236 | CT |
Addresses
Primary practice location
360-14 N Main St
Southington, CT 06489
Mailing address
360-14 N Main St
Southington, CT 06489
Phone (860) 621-6759
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02732 | Other | CT | MEDICARE GROUP # |
Other providers in Southington, CT
- Dionna Altayr
- Rover Ivan Abeleda Alzona I
- Amy M Anderson
- Andrew DL Guest MD PC
- Anew Physical Therapy LLP
- Apple Valley Health and Family Chiropractic, LLC
- Apple Valley Pharmacy, LLC
- Thomas Matthew Arnista
- Kelly E Aros-Truhe
- Nadia Arrington
All providers in Southington, CT · Internal Medicine 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 Sep 12, 2007. 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.