Individual
DR. DENNIS P IADAROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
535 MONROE TPKE, MONROE, CT 06468-2382
(203) 268-7799
(203) 261-3723
Mailing address
535 MONROE TPKE, MONROE, CT 06468-2382
(203) 268-7799
(203) 261-3723
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002344
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004137495
—
CT
Enumeration date
11/08/2005
Last updated
12/17/2009
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