Individual
DR. ALFRED J PADILLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
56 LAFAYETTE PL, STE A, GREENWICH, CT 06830-5430
(203) 622-9160
(203) 661-3887
Mailing address
56 LAFAYETTE PL, # A, GREENWICH, CT 06830-5430
(914) 273-8546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
023697
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
23697
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010023697 CT 01
BLUE CROSS& BLUE SHIELD #
CT
01
—
023697
CONNECTICUT LINCENSE #
CT
01
—
07D0930087
CLIA NUMBER
CT
05
—
1236975
—
CT
Enumeration date
01/12/2006
Last updated
03/07/2023
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