Individual
NADER M BAHADORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4769
(860) 442-0711
Mailing address
20 YORK STREET, CB-329, NEW HAVEN, CT 06510-3220
(203) 688-1743
(203) 688-9638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
000484
CT
207P00000X
Emergency Medicine Physician
DO01020
RI
Other
Enumeration date
08/29/2006
Last updated
05/21/2020
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