Individual
ERIC B NEADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R, PA-C
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-8016
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-8016
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001634
CT
Other
Enumeration date
05/23/2005
Last updated
03/01/2012
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