Provider Demographics
NPI:1538233291
Name:CARDON, ERIN KATHLEEN (MD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:KATHLEEN
Last Name:CARDON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 SILAS DEANE HWY
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:860-972-6977
Mailing Address - Fax:860-972-7040
Practice Address - Street 1:1781 HIGHLAND AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-1254
Practice Address - Country:US
Practice Address - Phone:203-272-1990
Practice Address - Fax:203-271-0668
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT028208207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT282080OtherCONNECTICARE
CT4124064OtherAETNA
CT233296OtherCIGNA
CT0V0425OtherHEALTHNET
CT010028208CT03OtherBLUE SHIELD
CT010028208CT04OtherANTHEM BCBS
CT12827087Medicaid
CTP1024361OtherOXFORD
CT233296OtherCIGNA
CTP1024361OtherOXFORD
CT0V0425OtherHEALTHNET