D'Souza, Bernard Tuodor

D'Souza, Bernard Tuodor is an individual health care provider with primary practice located at 56 Franklin St St Mary'S Hospital , Department Of Medicine, Waterbury CT 06706-1253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. D'Souza, Bernard Tuodor can be contacted via phone (203) 709-6424.

Contact Information

Primary practice address
56 Franklin St St Mary'S Hospital , Department Of Medicine Waterbury CT 06706-1253
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 048267 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 48267 Connecticut

Profile Details

NPI number 1104098789
LBN Legal business name D'Souza, Bernard Tuodor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2008
Last updated Oct 22nd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104098789 NPPES
Connecticut Other 9852543 AETNA
Connecticut Other 61470493 AETNA
Connecticut MEDICAID 008017075 AETNA
Connecticut Other 1137283 AETNA

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