Braddock, Demetrios Thomas
Braddock, Demetrios Thomas is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians Bldg, New Haven CT 06519-1369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Braddock, Demetrios Thomas can be contacted via phone (203) 785-2140.Contact Information
Primary practice address
800 Howard Ave Yale Physicians Bldg
New Haven CT 06519-1369
Phone: (203) 785-2140
Fax: (203) 785-6414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 042128 | Connecticut |
Profile Details
| NPI number | 1720069024 |
|---|---|
| LBN Legal business name | Braddock, Demetrios Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jan 3rd, 2008 - about 17 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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