Kenneth R Dardick in Storrs - Family Medicine
Kenneth R Dardick - NPI 1316930266
Kenneth R Dardick is a Family Medicine in Storrs, Connecticut. Kenneth R Dardick practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth R Dardick is 1316930266. The last update date is 2011-04-12.
Kenneth R Dardick's current location address is 34 Professional Park Rd, Storrs, Connecticut. You can contact this provider via phone number 8604870002 and fax number 8604291663. The mailing address for Kenneth R Dardick is 34 Professional Park Rd, Storrs, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth R Dardick |
|---|---|
| Address | 34 Professional Park Rd, Storrs, Connecticut |
| Phone Number | 8604870002 |
| Fax Number | 8604291663 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316930266 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2011-04-12 |
Provider Mailing Address Detail
| Address | 34 Professional Park Rd |
|---|---|
| City | Storrs |
| State | Connecticut (CT) |
| Post Code | 6268 |
| Phone Number | 8604870002 |
| Fax Number | 8604291663 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 17773 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Kenneth R Dardick by the Centers for Medicare & Medicaid Services?
The Kenneth R Dardick has been issued the NPI (National Provider Identifier) 1316930266. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenneth R Dardick?
The Kenneth R Dardick is situated at 34 Professional Park Rd, in the city of Storrs, state of CT, with the zip code 6268.
What is Kenneth R Dardick's area of expertise and its corresponding taxonomy classification?
The Kenneth R Dardick's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1316930266 to Kenneth R Dardick?
The Kenneth R Dardick received its 1316930266 assignment from the Centers for Medicare & Medicaid Services on 2005-08-25.
As of what date were the details related to Kenneth R Dardick most recently updated or revised?
The information pertaining to Kenneth R Dardick, including its address, specialty, and other relevant details, was last updated or revised on 2011-04-12.