Individual
RUDY T ANDRIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 W BROAD ST, SUITE 404, STAMFORD, CT 06902-3661
(203) 356-9692
(203) 356-0270
Mailing address
166 W BROAD ST, SUITE 404, STAMFORD, CT 06902-3661
(203) 356-9692
(203) 356-0270
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
027858
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001278589
—
CT
Enumeration date
08/23/2005
Last updated
01/15/2010
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