Provider Demographics
NPI:1649318585
Name:ARDEN-CORDONE, MARY ELIZABETH (MD,)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:ARDEN-CORDONE
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 FIELD POINT RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-2801
Mailing Address - Country:US
Mailing Address - Phone:203-625-9608
Mailing Address - Fax:203-629-0589
Practice Address - Street 1:195 FIELD POINT RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-2801
Practice Address - Country:US
Practice Address - Phone:203-625-9608
Practice Address - Fax:203-629-0589
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT034453207RE0101X
CTCT034453207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT3682771OtherAETNA
CTP4258028OtherOXFORD
CT421631208OtherUNITED HEALTH CARE INSURA
CT56010034453CT4OtherANTHEM BLUE CROSS BLUE SH
CT50MEARDENCT01OtherANTHEM
CT421631208OtherUNITED HEALTH CARE INSURA
CTG06775Medicare UPIN