Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETNY RAUL CANDELARIO, MD
Active Sole ProprietorETNY RAUL CANDELARIO, MD is a Family Medicine healthcare provider located in MYSTIC, Connecticut. NPI 1568084150 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MYSTIC, CT
Registration Details
- NPI Number
- 1568084150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2020 (6.2668953500055 yrs)
- Last Updated
- Aug 23, 2024
- Licenses
-
4301510053 (MI)U6458 (TX)79070 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 PERKINS FARM DR STE 203MYSTIC, CT, 063554041Browse CT providers · Browse ZIP 06355
- Phone
- 8605768911
- Fax
- 8605727758
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MYSTIC, CT
| Name | Credential | NPI |
|---|---|---|
| DR. HAROLD EUGENE PHILLIPS JR. | M.D. | 1124026869 |
| DR. MICHAEL J FELTES | M.D. | 1689690216 |
| DR. ADRIENNE LYNNE MAROLD PARAD | M.D. | 1467659227 |
| DR. SUNGSIL CHO | MD | 1437611696 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.