Individual
DR. NICHOLAS VERDURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 LEWIS AVENUE, SUITE 208, MERIDEN, CT 06451-2121
(203) 238-2691
(203) 235-3128
Mailing address
455 LEWIS AVENUE, SUITE 208, MERIDEN, CT 06451-2121
(203) 238-2691
(203) 235-3128
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
49992
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915420
—
NC
05
—
NC1244
—
SC
Enumeration date
07/09/2008
Last updated
11/09/2011
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