Individual
DR. LALEH ARDESHIRPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 FARMINGTON AVE, FARMINGTON, CT 06032-1901
(860) 837-6700
(860) 837-6765
Mailing address
60 OLD QUARRY RD, WOODBRIDGE, CT 06525-1006
(203) 506-1514
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
043051
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8002773
—
CT
Enumeration date
07/25/2008
Last updated
04/30/2024
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