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DR. ALBERT DANIEL ARDAO MD
>> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1831223700
Individual Registrant:DR. ALBERT DANIEL ARDAO MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
292 PEQUOT AVE #40 NEW LONDON, CT 06320 US
Tel: 860-443-8098 Fax: --
Tel: 860-443-8098 Fax: --
Contact information for business:
292 PEQUOT AVE #40 NEW LONDON, CT 06320 US
Tel: 860-443-8098 Fax: --
Tel: 860-443-8098 Fax: --
Registration Information:
NPI: 1831223700
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208100000X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | CT | 028660 |
| N | 208100000X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | NY | 165617 |
| N | 208100000X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | PA | MD 067735L |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
