Boto, Agedi Nicholson
Boto, Agedi Nicholson is an sole proprietor health care provider with primary practice located at 2800 Main St , Bridgeport CT 06606-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Boto, Agedi Nicholson can be contacted via phone (475) 210-5032.Contact Information
Primary practice address
2800 Main St
Bridgeport CT 06606-4201
Phone: (475) 210-5032
Fax: (475) 210-5034
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 55202 | Connecticut |
Profile Details
NPI number | 1568729077 |
---|---|
LBN Legal business name | Boto, Agedi Nicholson |
Credentials | M.D./PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 20th, 2012 |
Last updated | Mar 11th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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