Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 027464 | CT |
NPI | 1003806456 |
---|---|
Provider Name | Ricardo F Cordido |
First Address | Hamden, CT 06518-3691 |
Second Address | Hamden, CT 06518-3691 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B39379 | (02) |