IDAIRA AGUILAR TEJEDOR


Address: 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208
Phone: 2033775988

IDAIRA AGUILAR TEJEDOR (NPI# 1356758387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356758387
Entity Type Individual
Full Name IDAIRA AGUILAR TEJEDOR
Credential M.D.
Practice Address 99 Hawley Ln Ste 1120
Stratford
CT 06614-1208
Practice Telephone 2033775988
Mailing Telephone 2033775988
Enumeration Date 2014-07-22
Last Update Date 2020-08-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
64181 CT Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
Y 2084N0008X Psychiatry & Neurology
Specialization: Neuromuscular Medicine
64181 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 99 HAWLEY LN STE 1120
City STRATFORD
State CT
Zip Code 06614-1208

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588139604 David A Crosby Physician Assistant 125 Pumpkin Ground Road, Stratford, CT 06614 2018-10-04
1710489232 Karen Marie Laconte Naturopath 720 Hilltop Dr, Stratford, CT 06614 2018-02-28
1972024693 Amanda Wilson Social Worker 60 Edmund Street, Stratford, CT 06614 2017-07-03
1558801423 Kristine Lynn Conlan Physical Therapist 55 Pasadena Ave., Stratford, CT 06614 2017-02-27
1811440258 Seokwon Kwon Dentist 320 Boston Ave, Stratford, CT 06614 2016-08-02
1093176141 Kathleen G Domek Technician/Technologist 150 Barnum Avenue Cut Off, Stratford, CT 06614 2016-03-17
1417328634 Kelley Machado Social Worker 2127 Nichols Ave, Stratford, CT 06614 2015-10-14
1043629553 Jennifer Woods-mesquita Social Worker 125 Greenlawn Ave, Stratford, CT 06614 2014-08-08
1437564010 Jose R. Pacheco Obstetrics & Gynecology 120 Brightwood Ave, Stratford, CT 06614 2014-06-23
1740612829 Stanley Brovender General Practice 773b Pontiac Lane, Stratford, CT 06614 2013-07-31
Find all providers in zip 06614

Taxonomy Information

Taxonomy Code 2084N0008X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neuromuscular Medicine

Taxonomy Definition

A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063725190 Bilal Hameed Psychiatry & Neurology 194 Howard St Ste 1, New London, CT 06320-5544 2010-07-19
1023371689 Uzma Usman Psychiatry & Neurology 800 Howard Ave, New Haven, CT 06519 2012-06-19
1750468963 Connecticut Neurological Specialist, LLC Psychiatry & Neurology 455 Lewis Ave, Suite 202, Meriden, CT 06451-2121 2006-11-01

Competitor

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City STRATFORD
Zip Code 06614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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