NPI 1902166135

Marc Diberardino

Practitioner Veterinarian Orange, CT

Practice location

Address: 356 Boston Post Rd, Orange, CT 06477-3508
Phone: (203) 795-6091

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 003189 (CT)

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Registry record

NPI: 1902166135
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2012
Record last updated: 22 May 2012

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.