Organization
MERIDEN-WALLINGFORD ANESTHESIA GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
PO BOX 744473, ATLANTA, GA 30374-4473
(107) 355-8508
(913) 242-6850
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004000733
—
CT
Enumeration date
06/18/2006
Last updated
09/17/2019
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