Individual
DR. ADAM F NIEDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PERKINS FARM DR STE 301, MYSTIC, CT 06355-4041
(860) 572-5400
Mailing address
79 WAWECUS ST, NORWICH, CT 06360-2160
(860) 886-2679
(860) 889-2862
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
047082
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047082
CT LICENSE
CT
Enumeration date
07/13/2006
Last updated
03/12/2020
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