NPI 1508065640 · live from the CMS NPI Registry
Anthony D Ciardella M.D. PC
Internal Medicine in Southington, CT. National Provider Identifier 1508065640, active.
NPI record
| NPI | 1508065640 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 360-14 N Main St, Southington, CT 06489 |
| Practice phone | 860-621-6759 |
| Enumerated | July 17, 2007 |
| Last updated | September 12, 2007 |
| Authorized official | Anthony Ciardella, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Primary Care | 363LP2300X | 34236 (CT) |
| Internal Medicine primary | 207R00000X | 024620 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.