Individual
COURTNEY CALANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2200 WHITNEY AVE, SUITE 360, HAMDEN, CT 06518-3691
(203) 281-4463
(203) 287-2930
Mailing address
322 E MAIN ST, SUITE 1B, BRANFORD, CT 06405-3136
(203) 488-7228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001819
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008017868
—
CT
01
—
P01260360
RR MEDICARE
CT
Enumeration date
10/20/2006
Last updated
05/27/2021
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