Dr. Ian Limuel Elquiero Dimaandal, MD
Psychiatry & Neurology, Neurology in Middletown, CT. Individual provider (NPI-1).
NPI number1295222743
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1295222743
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ian Limuel Elquiero Dimaandal
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2018
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 72532 | CT | Yes |
Practice location
80 S Main St Ste 101Middletown, CT 06457-3648
Phone 860-358-5970 · Fax 860-358-8690
Mailing address
80 S Main StMiddletown, CT 06457-3648
Phone 860-358-5970 · Fax 860-358-8690
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