Provider Demographics
NPI:1710195581
Name:MARY ARDEN-CORDONE, M.D., LLC
Entity Type:Organization
Organization Name:MARY ARDEN-CORDONE, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ARDEN-CORDONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-359-2444
Mailing Address - Street 1:1275 SUMMER ST
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5359
Mailing Address - Country:US
Mailing Address - Phone:203-359-2444
Mailing Address - Fax:203-359-3169
Practice Address - Street 1:1275 SUMMER ST
Practice Address - Street 2:SUITE A-1
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5359
Practice Address - Country:US
Practice Address - Phone:203-359-2444
Practice Address - Fax:203-359-3169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT034453207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty