NPI 1861969685

John Wade Candler, RRA

Practitioner Radiology Practitioner Assistant East Haddam, CT

Practice location

Address: 64 Wickham Rd, East Haddam, CT 06423-1203
Phone: (860) 917-5863

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 294258

Other Radiology Practitioner Assistant providers in Connecticut →

Registry record

NPI: 1861969685
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Oct 2018
Record last updated: 30 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.