CLAUDIO A BENADIVA MD (Credential# 549840) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
CLAUDIO A BENADIVA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.032215. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 2 Batterson Park Rd, Farmington, CT 06032-2568. The current status is active.
| Licensee Name | CLAUDIO A BENADIVA MD |
| Business Name | NEW BRITAIN GENERAL HOSPITAL |
| Credential ID | 549840 |
| Credential Number | 1.032215 |
| Credential Type | Physician/Surgeon |
| Business Address |
2 Batterson Park Rd Farmington CT 06032-2568 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1992-04-24 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164362 | CSP.0023215 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-12 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2 BATTERSON PARK RD |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-2568 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Daniel Richmond Grow | 2 Batterson Park Rd, Farmington, CT 06032-2568 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Center for Advanced Reproductive Services, PC | 2 Batterson Park Rd, Farmington, CT 06032-2568 | Out-patient Surgical Facility | 2019-01-01 ~ 2020-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kyeongsuk Lee Lee | 11- A1 Lakeshore Dr, Farmington, CT 06032 | Nail Technician | ~ |
| Lynne M Ramer · Sobowicz | 13 Wentworth Park, Farmington, CT 06032 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott's Townline Mobil LLC | 435 Main St, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Glenna E Voytovich · Mietz | 47 Carriage Dr, Farmington, CT 06032 | Marital and Family Therapist | 2020-09-01 ~ 2021-08-31 |
| Munsons Chocolates | 463 Westfarms Mall, Farmington, CT 06032 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Kimberly A. Caprio | Hartford Healthcare Medical Group, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Stephanie A. Fink | 22 Kent Lane, Farmington, CT 06032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Farmington Donuts LLC · Dunkins Donuts | 348 Colt Hwy, Farmington, CT 06032 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angham Zakko | 2 Stratford Rd., Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Thomas N Taylor | 222 Main St # 264, Farmington, CT 06032 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + FARMINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ellen Leonard | New Britain General Hospital, Newington, CT 06111 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| James L. Bernene Md · New Britain General Hospital | 22041 Shallowater Ln, Bonita Springs, FL 34135-8150 | Physician/surgeon | 2015-08-01 ~ 2016-07-31 |
| New Britain General Hospital | 100 Grand Street, New Britain, CT 06050 | Public Charity-exempt From Financial Requirements | ~ |
| Hospital of Central Ct At New Britain General | 100 Grand St, New Britain, CT 06050 | Controlled Substance Registration for Hospitals | 2020-06-19 ~ 2021-02-28 |
| Timothy J Devries Pa | New Britain General Hospital, New Britain, CT 06050 | Physician Assistant | 1997-12-23 ~ 1998-11-30 |
| The Hospital of Central Connecticut Auxiliary At New Britain General | 100 Grand St, New Britain, CT 06052-2016 | Raffle Permit Class 2 | 2013-09-19 ~ 2013-11-02 |
| Zdenek Bocek | 2nd General Hospital, Apo Ae, 09180 | Physician/surgeon | 2000-11-27 ~ 2001-12-31 |
| Hospital of Central Connecticut At New Britain General and Bradley Memorial | 100 Grand Street, New Britain, CT 06050 | Public Charity-exempt From Financial Requirements | 2006-12-27 ~ |
| Stephen J Bernstein | New Britain General Hosp, New Britain, CT 06050 | Physician/surgeon | 1979-06-25 ~ 1983-03-31 |
| Barry G Jacobs | New Britain General, New Britain, CT 06050 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on CLAUDIO A BENADIVA MD.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).