Individual
DIANE D'ISIDORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 PARK LANE RD, SUITE A101, NEW MILFORD, CT 06776-2444
(860) 355-8190
(860) 355-3856
Mailing address
47 PUTNAM RD, NEW MILFORD, CT 06776-5332
(203) 788-5538
(860) 355-3856
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
029150
CT
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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