MITHUN SIVADASAN

ANSONIA, CT
NPI1912351594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CT  1047)
Enumeration Date2016-04-20
Last Update Date2021-03-02
Business Address
MITHUN SIVADASAN
364 E MAIN ST
ANSONIA, CT 06401-1904
Phone number: 203-734-4806
Mailing Address
MITHUN SIVADASAN
370 OLD COUNTRY RD STE 100
GARDEN CITY, NY 11530-1702
Phone number: 718-920-4321
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