Individual
AILEEN INGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 ASYLUM AVE STE 2108, HARTFORD, CT 06105-1719
(860) 714-4097
(860) 714-8001
Mailing address
701 MEDICAL PARK DR, STE 208, HARTSVILLE, SC 29550-4777
(843) 383-5191
(843) 383-0115
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
60210
CT
207UN0901X
Nuclear Cardiology Physician
60210
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008080625
—
CT
01
—
D400474054
MEDICARE
CT
Enumeration date
07/16/2007
Last updated
06/18/2021
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