Organization
HARRY ARDOLINO, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY ARDOLINO M.D. (OWNER/PRESIDENT)
(203) 481-8444
Entity
Organization
Contact information
Practice address
21 BUSINESS PARK DR, BRANFORD, CT 06405-2935
(203) 481-8444
(203) 483-0176
Mailing address
21 BUSINESS PARK DR, BRANFORD, CT 06405-2935
(203) 481-8444
(203) 483-0176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010024308CT02
ANTHEM
CT
01
—
0133567003
CIGNA
CT
01
—
024308
CONNECTICARE
—
01
—
2652425
AETNA
CT
01
—
OV9368
HEALTHNET
CT
Enumeration date
10/15/2010
Last updated
10/15/2010
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