Individual
DR. KORETADA KONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 BURROUGHS RD, EASTON, CT 06612-1410
(203) 610-4652
Mailing address
50 BURROUGHS RD, EASTON, CT 06612-1410
(203) 610-4652
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
013732
CT
Other
Enumeration date
10/07/2013
Last updated
10/07/2013
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