Provider Demographics
NPI:1942384359
Name:DARDANO, KRISTIN L (MD)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:L
Last Name:DARDANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:2ND FL
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:325B KING ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2370
Practice Address - Country:US
Practice Address - Phone:413-586-2496
Practice Address - Fax:413-923-5557
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156631207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110059908AMedicaid
MA1942384359OtherHEALTH NEW ENGLAND
MA1942384359OtherBLUE CROSS AND BLUE SHIELD OF MASS
MAAA222692OtherHARVARD PILGRIM HEALTH CARE
MA9900784OtherCIGNA
MA1942384359OtherBLUE CROSS AND BLUE SHIELD OF MASS