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Organization

ROMAN ALDER MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROMAN ALDER MD (OWNER)
(860) 355-9000
Entity
Organization

Contact information

Practice address
4 MAIN ST, NEW MILFORD, CT 06776-2802
(860) 355-9000
(860) 799-1501
Mailing address
4 MAIN ST, PO BOX 1510, NEW MILFORD, CT 06776-2802
(860) 355-9000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
031456
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255355764
CT
Enumeration date
02/20/2013
Last updated
10/23/2013
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