EDWARD A DUDA (NPI# 1669469292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669469292 |
| Entity Type | Individual |
| Full Name | EDWARD A DUDA |
| Credential | MD |
| Practice Address |
425 Post Rd Fairfield CT 06824-6232 |
| Practice Telephone | 2032554545 |
| Practice Fax Number | 2032541191 |
| Mailing Telephone | 2032554545 |
| Mailing Fax Number | 2032541191 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2014-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 031524 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
031524 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001315242 | 05 |
| Street Address |
425 POST RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146802 | Gioia Jo Riccio | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2005-06-30 |
| 1730669920 | Angelina Angeli | Nurse Practitioner | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-08-16 |
| 1649778614 | Rdr Radiology LLC | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-01-25 |
| 1023528270 | Skylar Krystina Robinson | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2017-10-02 |
| 1083151898 | Brian Clancy | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2017-01-31 |
| 1962885368 | Deepthi Naik | Family Medicine | 425 Post Rd, Fairfield, CT 06824 | 2015-07-02 |
| 1225370901 | Eric Louis Alter | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2013-03-20 |
| 1356668669 | Steven V Kardos | Urology | 425 Post Rd, 2nd Floor, Fairfield, CT 06824-6232 | 2010-04-26 |
| 1144482308 | Nicholas Lillo | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2008-06-30 |
| 1619134269 | Matthew S Wosnitzer | Urology | 425 Post Rd, Suite 204, Fairfield, CT 06824-6232 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144303892 | Medical Specialists of Fairfield, LLC | Internal Medicine | 4699 Main Street, Fairfield, CT 06824 | 2006-10-23 |
| 1972529873 | Piyush Vinaykumar Patel | Internal Medicine | 3050 Mack Rd Ste 300, Fairfield, OH 45014-5376 | 2006-07-14 |
| 1780688275 | Oncology/ Hematology Care, Inc. | Internal Medicine | 3050 Mack Rd, Suite 300, Fairfield, OH 45014-5379 | 2005-06-13 |
| 1972507564 | Oncology/ Hematology Care, Inc. | Internal Medicine | 2960 Mack Rd, Ste 105, Fairfield, OH 45014-5374 | 2005-06-10 |
| 1124388384 | Christin B Destefano | Internal Medicine | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2012-05-22 |
| 1609163260 | Nicholas Brand Pleat | Internal Medicine | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2011-07-05 |
| 1649492166 | Kanwaldeep Kaur Rasila | Internal Medicine | 2720 Low Court, Fairfield, CA 94534-9771 | 2007-05-03 |
| 1497877500 | Yelena Krijanovski | Internal Medicine | 2702 Low Ct, Fairfield, CA 94534-9771 | 2007-04-06 |
| 1013094382 | Prasad R Kudalkar | Internal Medicine | 3050 Mack Rd Ste 300, Fairfield, OH 45014-5376 | 2006-11-01 |
| 1194821868 | James Long | Internal Medicine | 1860 Pennsylvania Ave, Suite 230, Fairfield, CA 94533-3590 | 2006-09-16 |
| Find all providers in FAIRFIELD | ||||
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| 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.