Individual
DAVID CANDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 MAIN ST, SUITE 18, EAST GREENWICH, RI 02818-3161
(401) 886-9669
(401) 886-9779
Mailing address
1050 MAIN ST, SUITE 18, EAST GREENWICH, RI 02818-3161
(401) 886-9669
(401) 886-9779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
038942
CT
207Q00000X
Family Medicine Physician
MD11488
RI
207R00000X
Internal Medicine Physician
Primary
038942
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001389429
—
CT
01
—
010038942CT04
ANTHEM BCBS
CT
05
—
7006186
—
RI
Enumeration date
07/28/2006
Last updated
03/07/2023
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