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Contact Information

IDAIRA AGUILAR TEJEDOR, MD
99 HAWLEY LN STE 1120
STRATFORD, CT06614-1208
 Phone: 203-377-5988
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for IDAIRA AGUILAR TEJEDOR · (Female)

NPI Number 1356758387
Status Active
Credentials MD
Entity Individual
Enumeration date 07/22/2014
Last updated 08/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 64181
Hospital affiliation(s)
  • GRIFFIN HOSPITAL - (Acute Care)
    130 DIVISION ST
    DERBY, CT 06418
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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