Search › Connecticut › 207Q00000X
Etny Candelario, MD
NPI 1568084150 · on the registry since 2020 · sole proprietor
Practice
- Address
- 100 Perkins Farm Dr Ste 203
Mystic, CT 06355 - Phone
- (860) 576-8911
- Fax
- (860) 572-7758
- Clinicians at this address
- 19
Additional practice sites
- 1339 Fair Ave, San Antonio, TX
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- MI, TX, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut