JASON NAIDICH
Physician/surgeon


Address: 15 Kerry Lane, Darien, CT 06820

JASON NAIDICH (Credential# 559940) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.

Business Overview

JASON NAIDICH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042358. The credential type is physician/surgeon. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 15 Kerry Lane, Darien, CT 06820. The current status is active.

Basic Information

Licensee Name JASON NAIDICH
Credential ID 559940
Credential Number 1.042358
Credential Type Physician/Surgeon
Business Address 15 Kerry Lane
Darien
CT 06820
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-04-22
Effective Date 2020-01-01
Expiration Date 2020-12-31
Refresh Date 2019-11-14

Other licenses

ID Credential Code Credential Type Issue Term Status
370287 CSP.0034917 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-05-20 2004-05-20 - 2005-02-28 INACTIVE

Office Location

Street Address 15 Kerry Lane
City Darien
State CT
Zip Code 06820

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Competitor

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City Darien
Zip Code 06820
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Darien

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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